Individual
DR. EDGAR DAVID RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3230 S RIDGEWOOD AVE APT 1101, SOUTH DAYTONA, FL 32119-3510
(404) 660-5805
Mailing address
3230 S RIDGEWOOD AVE APT 1101, SOUTH DAYTONA, FL 32119-3510
(404) 660-5805
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH15078
FL
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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