Individual
EDWIN RIVERA SEGARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5425 S SEMORAN BLVD STE 7C, ORLANDO, FL 32822-1777
(407) 931-0444
(407) 962-4446
Mailing address
931 W OAK ST STE 103, KISSIMMEE, FL 34741-4973
(407) 931-0444
(407) 962-4446
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
22089
PR
208D00000X
General Practice Physician
Primary
ACN1472
FL
Other
Enumeration date
12/08/2020
Last updated
01/17/2025
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