Individual
JOSE M. RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2415 N. ORANGE AVE, SUITE 400, ORLANDO, FL 32804
(407) 303-7399
(407) 303-7305
Mailing address
2415 N. ORANGE AVE, SUITE 400, ORLANDO, FL 32804
(407) 303-7399
(407) 303-7305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
PA9102846
FL
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
PA9102846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003919100
—
FL
Enumeration date
05/21/2007
Last updated
04/25/2013
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