Individual
ANGELA ROSE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4645 NW 8TH AVE, GAINESVILLE, FL 32605-4524
(352) 264-2500
(352) 416-0135
Mailing address
4645 NW 8TH AVE, GAINESVILLE, FL 32605-4524
(352) 264-2500
(352) 416-0135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106652
FL
Other
Enumeration date
07/05/2012
Last updated
05/27/2015
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