Organization
NOVA'S INNOVATED URGENT CARE, LLC.
Active
Other names
VIVA Bloom
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERIED RIVERA LOPEZ APRN (FNP-BC)
(407) 693-2819
Entity
Organization
Contact information
Practice address
737 SOUTH SEMORAN BLVD, ORLANDO, FL 32807
(407) 693-2819
(407) 264-6936
Mailing address
4417 13TH ST, SAINT CLOUD, FL 34769-6724
(407) 693-2819
(407) 264-6936
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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