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Individual
EDGARDO MARIO CLAUDIO RIVAS
Active
Individual
EDGARDO MARIO CLAUDIO RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
24-328
FL
363AS0400X
Surgical Physician Assistant
Primary
24-328
FL
Other
Enumeration date
06/22/2024
Last updated
12/11/2024
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