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Organization

RIVERA SURGICAL LLC

Active
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Organization

RIVERA SURGICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GERHARD RIVERA (VICE PRESIDENT)
(239) 919-4763
Entity
Organization

Contact information

Practice address
205 S EOLA DR, ORLANDO, FL 32801-2827
(239) 919-4763
Mailing address
205 S EOLA DR, ORLANDO, FL 32801-2827

Taxonomy

Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary

Other

Enumeration date
11/10/2021
Last updated
11/10/2021
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