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Individual
VICTOR MANUEL DE LA ROSA SALAZAR
Active
Individual
VICTOR MANUEL DE LA ROSA SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
25-245
FL
363A00000X
Physician Assistant
Primary
3156
PR
363AS0400X
Surgical Physician Assistant
3156
PR
Other
Enumeration date
04/30/2025
Last updated
05/09/2026
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