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Organization

HOME DR INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE L. RIVERA M.D. (PRESIDENT)
(787) 439-2141
Entity
Organization

Contact information

Practice address
1201 E SUNRISE BLVD, UNIT 601, FORT LAUDERDALE, FL 33304-2880
(787) 439-2141
Mailing address
1201 E SUNRISE BLVD, UNIT 601, FORT LAUDERDALE, FL 33304-2880
(787) 439-2141

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
FL

Other

Enumeration date
02/23/2012
Last updated
03/12/2017
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