Dorival, Teddy J

Dorival, Teddy J is an sole proprietor health care provider with primary practice located at 12600 Nw 19Th Ave , Miami FL 33167-2159. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dorival, Teddy J can be contacted via phone (305) 842-0171.

Contact Information

Primary practice address
12600 Nw 19Th Ave Miami FL 33167-2159
Phone: (305) 842-0171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PACN140 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001732-P.A. Puerto Rico
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10019 Arizona

Profile Details

NPI number 1417636549
LBN Legal business name Dorival, Teddy J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2023
Last updated Mar 6th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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