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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