Search › Florida › 101YM0800X
Sully Rivera, MA
NPI 1164651691 · on the registry since 2009 · sole proprietor
Practice
- Address
- 210 Krassner Dr Nw
Palm Bay, FL 32907 - Phone
- (787) 504-6247
Additional practice sites
- 210 Krassner Dr Nw, Palm Bay, FL
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 103T00000X
- Licence states on file
- PR, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida