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TEDDY DORIVAL

Medical Physician Assistant

NPI: 1417636549Individual

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

001732-P.A.(PR)

Contact & Hours

Address
12600 NW 19TH AVE
MIAMI, FL 33167

Quick Facts

NPI
1417636549
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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