Individual
MR. MILTON RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7701 ARBORDALE DR., PORT RICHEY, FL 34668
(727) 326-7731
Mailing address
7701 ARBORDALE DR, PORT RICHEY, FL 34668-2301
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5152051
FL
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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