Konoval, Riva

Konoval, Riva is an sole proprietor health care provider with primary practice located at 3500 N State Road 7 Ste 211, Lauderdale Lakes FL 33319-5625. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Konoval, Riva can be contacted via phone (954) 766-4233.

Contact Information

Primary practice address
3500 N State Road 7 Ste 211 Lauderdale Lakes FL 33319-5625
Phone: (954) 766-4233
Fax: (954) 306-2056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 2685 Florida

Profile Details

NPI number 1487942256
LBN Legal business name Konoval, Riva
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2011
Last updated Oct 31st, 2011 - about 15 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487942256 NPPES
Florida Other PA 2685 MEDICAL LICENSE

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