Individual
ALEXA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 LEE RD APT P493, WINTER PARK, FL 32789-2139
(347) 323-1325
Mailing address
1701 LEE RD APT P493, WINTER PARK, FL 32789-2139
(347) 323-1325
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
736969
FL
Other
Enumeration date
01/05/2019
Last updated
01/05/2019
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