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Justin Ricky Rivera
Student in an Organized Health Care Education/Training Program in Lauderhill, Florida
NPI 1902404262

Justin Ricky Rivera is a Student in an Organized Health Care Education/Training Program based in Lauderhill, FL. Justin Ricky Rivera practices in Lauderhill, FL. The NPI Number for Justin Ricky Rivera is 1902404262 and holds a License No. (Florida).

The current practice location address for Justin Ricky Rivera is 6740 Nw 38Th Dr, Lauderhill, FL and can be reached out via phone at 954-756-3333.

Location: 6740 Nw 38Th Dr, Lauderhill, FL, 33319-7305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902404262
Provider Name
Justin Ricky Rivera
Credential
Provider Entity Type
Individual
Gender
Male
Address
6740 Nw 38Th Dr, Lauderhill, FL, 33319-7305
Phone Number
954-756-3333
Fax Number
Provider Enumeration Date
10/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6740 Nw 38Th Dr
City
Lauderhill
State
Florida
Zip
33319-7305
Phone Number
954-756-3333
Fax Number
person
Provider Business Mailing Address Details
Address
6740 Nw 38Th Dr
City
Lauderhill
State
Florida
Zip
33319-7305
Phone Number
954-756-3333
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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