Organization
KIDS' CORNER PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVER I RIVERA MD (OWNER)
(813) 940-8140
Entity
Organization
Contact information
Practice address
1114 BELL SHOALS ROAD, BRANDON, FL 33511-8813
(813) 940-8140
(813) 940-8148
Mailing address
1114 BELL SHOALS RD, BRANDON, FL 33511-8813
(813) 940-8140
(813) 940-8148
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
07/27/2020
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