Organization
EV RIDER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CARLOS RIVERA (PRESIDENT)
(239) 278-5054
Entity
Organization
Contact information
Practice address
6410 ARC WAY, SUITE A, FORT MYERS, FL 33966-1357
(239) 278-5054
(239) 278-1431
Mailing address
6410 ARC WAY, SUITE A, FORT MYERS, FL 33966-1357
(239) 278-5054
(239) 278-1431
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
About Stedi
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