RAFAEL DE LA RIVA

BROOKSVILLE, FL
NPI1295721496
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: FL  ME49426)
Enumeration Date2005-09-22
Last Update Date2008-01-02
Business Address
-- RAFAEL DE LA RIVA MD
17240 CORTEZ BLVD
BROOKSVILLE, FL 34601-8978
Phone number: 352-754-5400
Mailing Address
-- RAFAEL DE LA RIVA MD
4519 GEORGE RD STE. 100
TAMPA, FL 33634-7329
Phone number: 813-496-1075