Individual
MR. LAUREANO RIVERA CALAHATIAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
31345 BRIDGEGATE DR, ZEPHYRHILLS, FL 33544-8222
(813) 907-6246
Mailing address
31345 BRIDGEGATE DR, ZEPHYRHILLS, FL 33544-8222
(813) 907-6246
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-1213831
FL
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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