Jennifer C Rivera (NPI# 1356585624, PAC ID# 1153472964) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1356585624 |
| PAC ID by PECOS | 1153472964 |
| Professional Enrollment ID | I20090707000412 |
| Full Name | Jennifer C Rivera |
| Organization Legal Name | WATERS EDGE DERMATOLOGY LLC |
| Address |
590 Malabar Rd Se Suite 2 Palm Bay FL 32907-3108 |
| Phone Number | 3212206400 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901893155 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 590 Malabar Rd Se, Suite 2, Palm Bay, FL 32907-3108 | 3212206400 | WATERS EDGE DERMATOLOGY LLC |
| Organization Legal Name | WATERS EDGE DERMATOLOGY LLC |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan M Carp | Dermatology | Waters Edge Dermatology LLC | 6642 W Atlantic Ave, Delray Beach, FL 33446-1616 |
| Stefan Doig | Dermatology | Waters Edge Dermatology LLC | 2910 Se3rd Ct, Ocala, FL 34471-0485 |
| Christopher Spock | Dermatology | Waters Edge Dermatology LLC | 121 S State Rd, Suite 7, Wellington, FL 33414-4338 |
| Gioconda A Boaz | Physician Assistant | Waters Edge Dermatology LLC | 2685 Forest Hill Blvd, West Palm Beach, FL 33406-5930 |
| Claudia Alejandra Vera | Physician Assistant | Waters Edge Dermatology LLC | 562 N Us Hwy 27, Lady Lake, FL 32159-3776 |
| Shery M Varghese | Dermatology | Waters Edge Dermatology LLC | 590 Malabar Rd Se, Suite 2, Palm Bay, FL 32907-3108 |
| Michael T Siino | Physician Assistant | Waters Edge Dermatology LLC | 7605 Conroy Windermere Rd, Orlando, FL 32835-2646 |
| Laura B Destefano | Dermatology | Waters Edge Dermatology LLC | 2484 Caring Way, Unit C, Port Charlotte, FL 33952-5306 |
| Theodore A Schiff | Dermatology | Waters Edge Dermatology LLC | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 |
| John Gregory Neily | Dermatology | Waters Edge Dermatology LLC | 4315 Tamiami Trl S, Venice, FL 34293-5117 |
| Street Address |
590 MALABAR RD SE SUITE 2 |
| City | PALM BAY |
| State | FL |
| Zip | 32907-3108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shery M Varghese | Dermatology | Waters Edge Dermatology LLC | 590 Malabar Rd Se, Suite 2, Palm Bay, FL 32907-3108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashish R Udeshi | Anesthesiology | Tampa Pain Relief Center Inc | 490 Centre Lake Nedr, 200b, Palm Bay, FL 32907-1113 |
| Carlos Martinez Solis | Internal Medicine | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Eric Vaughn Palmer | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Harry W Carroll | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Jennifer Dawn Logan | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| John W Rothwell Iii | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Victor Cisneros | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Howard Gershman | General Practice | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Radoslaw J Czajkowski | Family Practice | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Kerri L Connell | Physician Assistant | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Find all physicians in zip 32907 | |||
| City | PALM BAY |
| Zip Code | 32907 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PALM BAY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer C Rivera.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.