| NPI | 1609597301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERIBERTO L. RIVERA Co Owner 407-288-3371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-09-09 |