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1295721496
RAFAEL DE LA RIVA
BROOKSVILLE, FL
NPI
1295721496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: FL ME49426)
Enumeration Date
2005-09-22
Last Update Date
2008-01-02
Business Address
-- RAFAEL DE LA RIVA MD
17240 CORTEZ BLVD
BROOKSVILLE, FL 34601-8978
Phone number: 352-754-5400
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Mailing Address
-- RAFAEL DE LA RIVA MD
4519 GEORGE RD STE. 100
TAMPA, FL 33634-7329
Phone number: 813-496-1075
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