JUAN I RIVERA

PUNTA GORDA, FL
NPI1396935037
Entity TypeOrganization
Authorized ContactJUAN I RIVERA
Owner
941-639-1640
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME050857)
Enumeration Date2007-07-30
Last Update Date2009-01-14
Business Address
JUAN I RIVERA
315 E OLYMPIA AVE 111
PUNTA GORDA, FL 33950-3833
Phone number: 941-639-1640
Mailing Address
JUAN I RIVERA
315 E OLYMPIA AVE # 111
PUNTA GORDA, FL 33950-3833
Phone number: 941-639-1640
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