Individual
ELZBIETA RIVELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1536 NORTH JEFFERSON ST, JACKSONVILLE, FL 32209
(904) 475-5800
Mailing address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 475-5800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.007145
IL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/27/2019
Last updated
11/18/2022
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