Individual
MARIE RIVERA-ZENGOTITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0238
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
16464
PR
207ZP0101X
Anatomic Pathology Physician
Primary
ME107353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024811300
—
FL
Enumeration date
03/19/2009
Last updated
10/04/2010
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