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Individual
MR. IVAN VIVANCO ECHEVARRIA
Active
Individual
MR. IVAN VIVANCO ECHEVARRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9455497
FL
363LP0200X
Pediatric Nurse Practitioner
APRN9455497
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104828000
—
FL
Enumeration date
05/29/2018
Last updated
04/09/2025
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