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Individual

DR. JOSE EMILIANO RIVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
330 W OAK ST, KISSIMMEE, FL 34741-4443
(888) 348-7363
(888) 343-7363
Mailing address
1113 LATTIMORE DR, CLERMONT, FL 34711-9032
(941) 779-4870

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME 121469
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13663196
CAQH
FL
Enumeration date
01/30/2008
Last updated
11/08/2024
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