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1437231115
EDMUNDO I RIVERA
ORANGE CITY, FL
NPI
1437231115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: FL me62400)
Enumeration Date
2006-10-20
Last Update Date
2019-05-10
Business Address
Dr. EDMUNDO I RIVERA MD
296 TREEMONT DR
ORANGE CITY, FL 32763-7945
Phone number: 386-774-6001
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Mailing Address
Dr. EDMUNDO I RIVERA MD
250 TREEMONT DR
ORANGE CITY, FL 32763-7945
Phone number: 386-774-6001
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