Individual
MR. DAVID RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2452 PINE CHASE CIR, SAINT CLOUD, FL 34769-6500
(407) 738-6230
(800) 580-7167
Mailing address
2452 PINE CHASE CIR, SAINT CLOUD, FL 34769-6500
(407) 738-6230
(800) 580-7167
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA44696
FL
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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