Individual
JEFFREY RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
709 N RENNES CT, KISSIMMEE, FL 34759-3863
(321) 624-9949
(407) 264-6742
Mailing address
709 N RENNES CT, KISSIMMEE, FL 34759-3863
(321) 624-9949
(407) 264-6742
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
RN 9172784
FL
163WC1500X
Community Health Registered Nurse
RN 9172784
FL
163WH0200X
Home Health Registered Nurse
Primary
RN 9172784
FL
163WI0500X
Infusion Therapy Registered Nurse
RN 9172784
FL
163WW0000X
Wound Care Registered Nurse
RN 9172784
FL
Other
Enumeration date
08/07/2007
Last updated
12/26/2023
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