Individual
DR. EDMUNDO I RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
296 TREEMONT DR, ORANGE CITY, FL 32763-7945
(386) 774-6001
(386) 774-6044
Mailing address
250 TREEMONT DR, ORANGE CITY, FL 32763-7945
(386) 774-6001
(386) 774-6044
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME62400
FL
Other
Enumeration date
10/20/2006
Last updated
05/10/2019
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