Teddy J Dorival
Teddy J Dorival is a Medical Physician Assistant in Miami, Florida. Practices as a sole proprietor. Licensed in Arizona, Florida and Puerto Rico.
- Licensed in
- AZ, FL, PR
- In the registry since
- 2023
- Specialties on file
- 3
Practice location Address checks out
12600 NW 19th AveMiami, FL 33167-2159
Phone: (305) 842-0171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 001732-P.A. (PR) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PACN140 (FL) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 10019 (AZ) |
Record details
| NPI number | 1417636549 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2023 |
| Last updated in NPPES | March 6, 2026 |
| Certification date | March 6, 2026 |
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