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Individual

JANICE B RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9145 NARCOOSSEE RD, SUITE A200, ORLANDO, FL 32827-5768
(407) 412-5030
(407) 601-7946
Mailing address
9145 NARCOOSSEE RD, SUITE A200, ORLANDO, FL 32827-5768
(407) 412-5030
(407) 601-7946

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9107340
FL
363AS0400X
Surgical Physician Assistant
PA9107340
FL

Other

Enumeration date
12/15/2006
Last updated
11/30/2016
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