Evaristo Enrique Rivero DPM

NPI 1043211691 - Podiatrist - 213E00000X

NPI Details
NPI 1043211691
Gender Male
Enumeration Date 08/04/2005
Last Updated 07/13/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
230 E INTERLAKE BLVD
LAKE PLACID FL, 33852-9603, US
Phone (863) 699-6001
Fax (863) 699-6002
Business Location
230 E INTERLAKE BLVD
LAKE PLACID FL, 33852-9603, US
Phone (863) 699-6001
Fax (863) 699-6002
Toxanomy
Taxonomy Code 213E00000X
License State Florida
License Number PO 2506
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According to our database, Dr. Evaristo Enrique Rivero DPM NPI is 1043211691, taxonomy code is 213E00000X and license number is PO 2506, license state is located at Florida. Evaristo Enrique Rivero DPM physically located at 230 E Interlake Blvd, Lake Placid FL, 33852-9603. NPI Number Evaristo Enrique Rivero DPM has the Individual type.

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1043211691 NPI number is provided on an as is basis without warranty of any kind. 1043211691 is maintained by the National Plan & Provider Enumeration System. The contents of Evaristo Enrique Rivero DPM are for informational purposes only.