Organization
ANTONIO V. RIVERA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO V RIVERA MD (OWNER)
(813) 689-5220
Entity
Organization
Contact information
Practice address
510 VONDERBURG DR, SUITE 306, BRANDON, FL 33511-5954
(813) 689-5220
(813) 681-8243
Mailing address
510 VONDERBURG DR, SUITE 306, BRANDON, FL 33511-5954
(813) 689-5220
(813) 681-8243
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME49129
FL
Other
Enumeration date
06/02/2009
Last updated
08/05/2013
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