Individual
LISSA V RIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2020 CATTLEMEN RD., SUITE 500, SARASOTA, FL 34232-6284
(941) 378-3937
(941) 921-1741
Mailing address
2020 CATTLEMEN RD, SUITE 500, SARASOTA, FL 34232-6243
(941) 378-3937
(941) 378-1868
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3664
FL
207W00000X
Ophthalmology Physician
OPC3664
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620897500
—
FL
Enumeration date
03/27/2006
Last updated
07/26/2010
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