Individual
MARCELINA RIVERA AQUILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(863) 680-7420
Mailing address
PO BOX 95004, LAKELAND, FL 33804-5004
(863) 680-7000
(863) 680-7420
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9176618
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303699500
—
FL
Enumeration date
01/27/2006
Last updated
02/12/2010
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