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Individual

MICHAEL F RIVERSO

Active
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Individual

MICHAEL F RIVERSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
UO3687
FL
207RG0100X
Gastroenterology Physician
Primary
OS019832
PA

Other

Enumeration date
06/03/2013
Last updated
07/01/2019
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