person
Teddy J Dorival
Medical Physician Assistant in Miami, Florida
NPI 1417636549

Teddy J Dorival is a Medical Physician Assistant based in Miami, FL and is specialized in Medical. Teddy J Dorival practices in Miami, FL. The NPI Number for Teddy J Dorival is 1417636549 and holds a License No. 001732-P.A. (Florida).

The current practice location address for Teddy J Dorival is 12600 Nw 19Th Ave, Miami, FL and can be reached out via phone at 305-842-0171. You can also correspond with Teddy J Dorival through the mailing address at PO BOX 380373, MIAMI, FL - 33238-0373 (mailing address contact number: 305-842-0171).

Location: 12600 Nw 19Th Ave, Miami, FL, 33238-0373
person
Provider Profile Details
NPI Number
1417636549
Provider Name
Teddy J Dorival
Credential
Provider Entity Type
Individual
Gender
Male
Address
12600 Nw 19Th Ave, Miami, FL, 33238-0373
Phone Number
305-842-0171
Fax Number
Provider Enumeration Date
07/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12600 Nw 19Th Ave
City
State
Zip
33167-2159
Phone Number
305-842-0171
Fax Number
person
Provider Business Mailing Address Details
Address
12600 Nw 19Th Ave
City
State
Zip
33167-2159
Phone Number
305-842-0171
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
001732-P.A. ()
Definition
Definition to come...
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