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Individual
JOSE LUIS AVILA ZALDIVAR
Active
Individual
JOSE LUIS AVILA ZALDIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, SA-C
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TRN42149
FL
246ZC0007X
Surgical Assistant
23338
WI
390200000X
Student in an Organized Health Care Education/Training Program
TRN42149
FL
Other
Enumeration date
05/08/2023
Last updated
05/13/2025
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