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Individual

JANICE RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10000 W COLONIAL DR STE 284, OCOEE, FL 34761-3432
(407) 296-1910
(407) 296-1909
Mailing address
10000 W COLONIAL DR STE 284, OCOEE, FL 34761-3432
(407) 296-1910
(407) 296-1909

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME163953
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121865100
FL
Enumeration date
05/10/2019
Last updated
07/05/2024
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