Active NPI
Cesar Javier Rivera Collet, APRN
- Family Nurse Practitioner
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11033278
- Practice address
- 17075 Cagan Ridge Blvd Ste 100
Clermont, FL 34714-9619 - Phone
- (863) 588-4775
- Fax
- (863) 422-7664
- NPI assigned
- Aug 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11033278 | FL | Primary |
Addresses
Primary practice location
17075 Cagan Ridge Blvd Ste 100
Clermont, FL 34714-9619
Mailing address
PO Box 878
Davenport, FL 33836-0878
Phone (689) 223-3898
Other practice location 1
106 Park Place Blvd Ste C
Davenport, FL 33837-6868
Phone (863) 422-7664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1117 S Semoran Blvd
Orlando, FL 32807-1480
Phone (407) 930-1112
715 E Vine St
Suite 1
Kissimmee, FL 34744-4232
Phone (407) 930-1112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11033278 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soni Family Practice, PLLC | Current | Accepting new patients | |
| SFP PC Holdings, Inc. | Current | Accepting new patients | |
| Advantage Medical Group LLC | Family | Current | Accepting new patients |
| Life Rehab and Wellness Center LLC | Past | Accepting new patients |
Locations
17075 Cagan Ridge Blvd
Ste 100
Clermont, FL 34714
106 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (863) 422-7664
715 E Vine St
Kissimmee, FL 34744
Phone (407) 930-1112
715 E Vine St
Ste 12
Kissimmee, FL 34744
1117 S Semoran Blvd
Orlando, FL 32807
Phone (407) 930-1112
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Davenport, FL
- NPI 1083957583
-
- Multi-Specialty Clinic/Center
- Davenport, FL
- NPI 1225923667
-
- Physical Therapist
- Orlando, FL
- NPI 1184498743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1871325894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 878",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338360878",
"telephone_number": "689-223-3898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17075 CAGAN RIDGE BLVD STE 100",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347149619",
"telephone_number": "863-588-4775",
"fax_number": "863-422-7664"
}
],
"practiceLocations": [
{
"address_1": "106 PARK PLACE BLVD STE C",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "FL",
"postal_code": "338376868",
"country_code": "US",
"telephone_number": "863-422-7664",
"fax_number": "863-422-7664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA COLLET",
"first_name": "CESAR",
"middle_name": "JAVIER",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-19",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11033278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.