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1265196125
LUIS ANIBAL RIVERA LUGO
HAINES CITY, FL
NPI
1265196125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11016191)
Enumeration Date
2021-10-27
Last Update Date
2024-02-22
Business Address
LUIS ANIBAL RIVERA LUGO FNP
502 E HINSON AVE
HAINES CITY, FL 33844-5240
Phone number: 863-438-7911
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Mailing Address
LUIS ANIBAL RIVERA LUGO FNP
2775 LAKE ALFRED RD
WINTER HAVEN, FL 33881-1432
Phone number: 863-291-4590
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