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1801499645
ERNESTO RIVERA
MIAMI, FL
NPI
1801499645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA30049)
Enumeration Date
2020-11-16
Last Update Date
2020-11-16
Business Address
ERNESTO RIVERA PTA
5200 NE 2ND AVE
MIAMI, FL 33137-2706
Phone number: 305-751-8626
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Mailing Address
ERNESTO RIVERA PTA
8455 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5066
Phone number: 352-382-7214
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