Individual
RAFAEL DAVID PRIM RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DVM
Contact information
Practice address
11951 LAKE UNDERHILL RD, ORLANDO, FL 32825-5007
(407) 382-3818
Mailing address
11951 LAKE UNDERHILL RD, ORLANDO, FL 32825-5007
(407) 382-3818
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
VM16463
FL
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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