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Individual

MICHELLE Y. RIVERA-VEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
60 W GORE ST, ORLANDO, FL 32806-1141
(321) 843-1182
(321) 841-3305
Mailing address
60 W GORE ST, ORLANDO, FL 32806-1141
(321) 843-1182
(321) 841-3305

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C167414
CA
208000000X
Pediatrics Physician
ME120252
FL
2080P0205X
Pediatric Endocrinology Physician
C167414
CA
2080P0205X
Pediatric Endocrinology Physician
ME120252
FL
2080P0205X
Pediatric Endocrinology Physician
Primary
ME165149
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012696700
FL
Enumeration date
09/28/2007
Last updated
05/10/2024
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