| Dr Edgardo J Riverarivera, MD | |
|
600 E Dixie Ave, Leesburg, FL 34748-5925 | |
| (919) 425-1565 | |
| Not Available |
| Full Name | Dr Edgardo J Riverarivera |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 600 E Dixie Ave, Leesburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508970815 | NPI | - | NPPES |
| 4345007 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 430162281 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | ME 73694 (Florida) | Primary |
| Entity Name | Guidewell Emergency Medicine Doctors, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629497235 PECOS PAC ID: 8224352919 Enrollment ID: O20150129001176 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edgardo J Riverarivera, MD 3114 Croasdaile Dr, Suite 200, Durham, NC 27705-2508 Ph: (919) 425-1565 | Dr Edgardo J Riverarivera, MD 600 E Dixie Ave, Leesburg, FL 34748-5925 Ph: (919) 425-1565 |
Dr. Dana N Cowles, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5200 | |
Marius Alexander, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Waroot Shay Nimjareansuk, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Medical Plaza Dr, Leesburg, FL 34748 Phone: 352-273-7002 Fax: 352-273-7388 | |
Dr. Erik St. Pierre, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Christopher Neil Rodgers, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 919-425-1565 | |
Mr. Ilyas Gutale, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 |