Individual
MR. ANTONIO CLEMENTE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2541 S VOLUSIA AVE STE 100, ORANGE CITY, FL 32763-9116
(386) 218-5911
(386) 406-8365
Mailing address
2541 S VOLUSIA AVE STE 100, ORANGE CITY, FL 32763-9116
(386) 218-5911
(386) 406-8365
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9566675
FL
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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