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Sofia Davalos, PA-C
Medical Physician Assistant in North Miami, Florida
NPI 1225663099

Sofia Davalos is a Medical Physician Assistant based in North Miami, FL and is specialized in Medical. Sofia Davalos practices in North Miami, FL and has the professional credentials of PA-C. The NPI Number for Sofia Davalos is 1225663099 and holds a License No. PA9113103 (Florida).

The current practice location address for Sofia Davalos is 11645 Biscayne Blvd Ste 100, North Miami, FL and can be reached out via phone at 305-538-8835.

Location: 11645 Biscayne Blvd Ste 100, North Miami, FL, 33181-3138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225663099
Provider Name
Sofia Davalos
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
11645 Biscayne Blvd Ste 100, North Miami, FL, 33181-3138
Phone Number
305-538-8835
Fax Number
Provider Enumeration Date
03/11/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
106343300 05 FL
institution
Provider Business Practice Location Address Details
Address
11645 Biscayne Blvd Ste 100
City
North Miami
State
Florida
Zip
33181-3155
Phone Number
305-538-8835
Fax Number
person
Provider Business Mailing Address Details
Address
11645 Biscayne Blvd Ste 100
City
North Miami
State
Florida
Zip
33181-3155
Phone Number
305-538-8835
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9113103 (Florida)
Definition
Definition to come...
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