Sandro Theodore, PHYSICIANASSISTANT
Sandro Theodore, PHYSICIANASSISTANT is a Physician Assistant in Riverview, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
11552 Brighton Knoll LoopRiverview, FL 33579-2123
Phone: (941) 592-9294
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1346959798 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | Yes |
| NPI enumerated | November 15, 2022 |
| Last updated in NPPES | November 15, 2022 |
| Certification date | November 15, 2022 |
| Mailing address | 11552 Brighton Knoll Loop, Riverview, FL 33579-2123 |
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