Healthcare Provider Details

I. General information

NPI: 1760393839
Provider Name (Legal Business Name): LAUREN RIVERO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 BRENTSHIRE DR
BRANDON FL
33511-4815
US

IV. Provider business mailing address

121 BRENTSHIRE DR
BRANDON FL
33511-4815
US

V. Phone/Fax

Practice location:
  • Phone: 813-765-3885
  • Fax:
Mailing address:
  • Phone: 813-765-3885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: