Individual
ALEXANDER RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4600 SW 46TH CT STE 140, OCALA, FL 34474-5785
(352) 873-3058
Mailing address
1851 N LOURDES TER, INVERNESS, FL 34453-9523
(860) 729-9626
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA87788
FL
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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