Davalos, Sofia

Davalos, Sofia is an individual health care provider with primary practice located at 11645 Biscayne Blvd Ste 100 , North Miami FL 33181-3155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Davalos, Sofia can be contacted via phone (305) 538-8835.

Contact Information

Primary practice address
11645 Biscayne Blvd Ste 100 North Miami FL 33181-3155
Phone: (305) 538-8835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9113103 Florida

Profile Details

NPI number 1225663099
LBN Legal business name Davalos, Sofia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2020
Last updated Aug 24th, 2023 - about last year

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 1225663099 NPPES
Florida MEDICAID 106343300

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