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Search › Florida › 183500000X

Ethan Rivest

NPI 1275351553 · on the registry since 2024

Practice

Address
7749 Normandy Blvd
Jacksonville, FL 32221
Phone
(904) 781-2509
Organisation at this address
Publix Super Markets Inc
Dr Stephanie L Johnson, Pa
Luxottica Retail North America Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
37

Additional practice sites

  • 11341 Normandy Blvd Ste 201, Jacksonville, FL

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-26

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