Individual
JULLIAM RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
9975 TAVISTOCK LAKES BLVD STE 140, ORLANDO, FL 32827-7665
(407) 373-9910
Mailing address
14106 RED ROBIN CT, ORLANDO, FL 32824-6314
(407) 276-1255
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4435
FL
Other
Enumeration date
03/31/2016
Last updated
09/11/2025
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