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Contact Information

LILLIAM RIVERA
2236 BRIAN LAKES DR. E
JACKSONVILLE, FL32221
 Phone: 904-783-3009
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for LILLIAM RIVERA

NPI # 1508001850
LBN Legal business name LILLIAM RIVERA
Authorized official LILLIAM RIVERA - (RN)
Entity Organization
Organization subpart 1 No
Enumeration date 12/15/2008
Last updated 12/15/2008 - About 17 years ago
Identifiers
FL License # RN9200441
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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