Individual
RICARDO AVILA GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
3657 NW 35TH ST, COCONUT CREEK, FL 33066-2434
(754) 368-5715
Mailing address
3657 NW 35TH ST, COCONUT CREEK, FL 33066-2434
(754) 368-5715
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
18369
WI
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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