Mattei Rivera, Mitzy

Mattei Rivera, Mitzy is an sole proprietor health care provider with primary practice located at 306 S 10Th St Ste 320 , Haines City FL 33844-5602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mattei Rivera, Mitzy can be contacted via phone (863) 438-2038.

Contact Information

Primary practice address
306 S 10Th St Ste 320 Haines City FL 33844-5602
Phone: (863) 438-2038
Fax: (321) 900-4408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9351665 Florida

Profile Details

NPI number 1174061618
LBN Legal business name Mattei Rivera, Mitzy
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2017
Last updated Nov 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174061618 NPPES
Florida MEDICAID 101953000

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