Individual
NESTOR G VIA Y RADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
180 JFK DR STE 320, ATLANTIS, FL 33462-6641
(561) 548-4900
(561) 434-5165
Mailing address
180 JFK DR STE 320, ATLANTIS, FL 33462-6641
(561) 548-4900
(561) 434-5165
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9101346
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9101346
LICENSE
FL
Enumeration date
12/01/2006
Last updated
05/25/2021
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