Individual
JOHN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(841) 917-9000
Mailing address
6505 STONE RIVER RD APT 104, BRADENTON, FL 34203-7849
(516) 787-0818
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PS66391
FL
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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