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Individual

OSVALDO AVILES-RIBOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1918 BLANDING BLVD, JACKSONVILLE, FL 32210-3202
(305) 278-0200
(305) 851-4110
Mailing address
6675 WESTWOOD BLVD, STE 475, ORLANDO, FL 32821-6027
(407) 845-0330
(888) 972-1752

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
10493
PR
208D00000X
General Practice Physician
Primary
ACN539
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AV82668
SSS NUMBER, INSURANCE PLA
PR
Enumeration date
01/02/2007
Last updated
09/20/2019
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