Individual
MARGARITA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12360 66TH ST UNIT C9, LARGO, FL 33773-3434
(727) 687-1550
Mailing address
12360 66TH ST STE C9, LARGO, FL 33773-3434
(727) 687-1550
Taxonomy
Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
Primary
PN5192784
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN5192784
NON-CLINICAL HOME HEALTH AGENCY
FL
Enumeration date
12/13/2022
Last updated
12/13/2022
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