Organization
PHYSICAL MEDICINE & REHAB OF BREVARD, P.A.
Active
Organization
PHYSICAL MEDICINE & REHAB OF BREVARD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO RIVERA M.D. (PRESIDENT)
(321) 449-1112
Entity
Organization
Contact information
Practice address
840 EXECUTIVE LN STE 120, ROCKLEDGE, FL 32955-3519
(321) 449-1112
(321) 449-1172
Mailing address
840 EXECUTIVE LN STE 120, ROCKLEDGE, FL 32955-3519
(321) 449-1112
(321) 449-1172
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/21/2011
Last updated
07/20/2018
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