Individual
MICHELLE RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 S ORANGE BLOSSOM TRL STE 227, ORLANDO, FL 32805-3195
(407) 674-8988
(407) 674-8992
Mailing address
750 S ORANGE BLOSSOM TRL STE 269, ORLANDO, FL 32805-3197
(407) 674-8988
(407) 674-8992
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
105339100
FL
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003575300
—
FL
05
—
105339100
—
FL
05
—
106038800
—
FL
Enumeration date
06/23/2014
Last updated
12/27/2022
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