Tan, Mardone Rivera

Tan, Mardone Rivera is an individual health care provider with primary practice located at 350 S Ridgewood Ave , Ormond Beach FL 32174-7028. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Tan, Mardone Rivera can be contacted via phone (386) 677-4545.

Contact Information

Primary practice address
350 S Ridgewood Ave Ormond Beach FL 32174-7028
Phone: (386) 677-4545
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 22587 Florida

Profile Details

NPI number 1740306190
LBN Legal business name Tan, Mardone Rivera
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jul 8th, 2007 - about 17 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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