Organization
EVARISTO E. RIVERO
Active
Other names
The Foot Doctor Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVARISTO E. RIVERO DPM (OWNER)
(863) 699-6001
Entity
Organization
Contact information
Practice address
230 E INTERLAKE BLVD, LAKE PLACID, FL 33852-9603
(863) 699-6001
(863) 699-6002
Mailing address
230 E INTERLAKE BLVD, LAKE PLACID, FL 33852-9603
(863) 699-6001
(863) 699-6002
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2506
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390277300
—
FL
Enumeration date
12/12/2007
Last updated
07/20/2010
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