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Individual

LALINE L. RIVERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3600 WASHINGTON ST, HOLLYWOOD, FL 33021-8216
(954) 966-4500
Mailing address
PO BOX 817337, HOLLYWOOD, FL 33081-1337

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME62031
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
370751200
FL
Enumeration date
03/12/2006
Last updated
03/30/2021
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