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Individual

JOSE IRVIN CHAVARRIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1285 ORANGE AVE, WINTER PARK, FL 32789-4984
(407) 647-2287
(407) 643-2801
Mailing address
1307 E OSCEOLA PKWY, KISSIMMEE, FL 34744-1605
(844) 665-4827

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9112608
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9112608
FL

Other

Enumeration date
10/24/2019
Last updated
07/15/2025
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