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1174104582
FREDERIED RIVERA LOPEZ
ORLANDO, FL
NPI
1174104582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11012492)
Enumeration Date
2021-04-16
Last Update Date
2023-05-16
Business Address
FREDERIED RIVERA LOPEZ FNP-BC
737 SOUTH SEMORAN BLVD
ORLANDO, FL 32807
Phone number: 407-693-2819
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Mailing Address
FREDERIED RIVERA LOPEZ FNP-BC
360 DOUGLAS AVE
ALTAMONTE SPRINGS, FL 32714-3335
Phone number: 407-788-8200
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