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Organization

EDMUNDO I RIVERA MD PA

Active
Other names
West Volusia Psychiatric Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDMUNDO I RIVERA MD (MEDICAL DOCTOR)
(386) 774-6001
Entity
Organization

Contact information

Practice address
250 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
10/24/2011
Last updated
10/24/2011
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