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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ANDREW RIVERA, PTA

Active Sole Proprietor

MR. ANDREW RIVERA, PTA is a Pediatric Rehabilitation Medicine healthcare provider located in LAKELAND, Florida. NPI 1003621103 is currently active in the NPPES registry. Verify at CMS.

Pediatric Rehabilitation Medicine · LAKELAND, FL

Registration Details

NPI Number
1003621103
Provider Type
Individual
Gender
Male
NPI Issued
Feb 7, 2025 (1.5526346160843 yrs)
Last Updated
Feb 7, 2025
License
225200000X (FL)
Sole Proprietor
Yes

Practice Information

Address
520 S FLORIDA AVE
LAKELAND, FL, 338015229
Browse FL providers · Browse ZIP 33801
Phone
8632682608
Primary Specialty
Pediatric Rehabilitation Medicine
2081P0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.