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Individual

DANIEL RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RRT

Contact information

Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
22536 NW 174TH AVE, HIGH SPRINGS, FL 32643-7375
(386) 454-8495

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT7059
FL

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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