Individual
CRISTIAN DAVID RIVERA MORALES I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
127 W FAIRBANKS AVE, PMB # 526, WINTER PARK, FL 32789-4326
(407) 743-5089
Mailing address
127 W FAIRBANKS AVE, WINTER PARK, FL 32789-4326
(407) 743-5089
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11036841
FL
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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