Organization
MIGUEL RIVERA, MD
Active
Parent organization
INJURY TREATMENT CENTER OF FORT MYERS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
INJURY TREATMENT CENTER OF FORT MYERS, INC.
Authorized official
DR. MIGUEL RIVERA M.D. (PHYSICIAN)
(239) 489-2290
Entity
Organization
Contact information
Practice address
8595 COLLEGE PKWY STE 110, FORT MYERS, FL 33919-5194
(239) 489-2290
Mailing address
2295 NW CORPORATE BLVD STE 245, BOCA RATON, FL 33431-7323
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME109841
FL
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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