Individual
NELISAN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 BUDINGER AVE, SAINT CLOUD, FL 34769-7203
(407) 910-2941
Mailing address
7723 LINKS CRECENT DR, ORLANDO, FL 32822-5061
(787) 585-5418
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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