Riva Konoval, PA
NPI #1487942256 in Lauderdale Lakes, Florida
Provider Information
- NPI Number
- 1487942256
- Entity Type
- Individual
- Name
- Riva Konoval, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jul 14, 2011
- Last Updated
- Oct 31, 2011
Practice Location
- Address
- 3500 N STATE ROAD 7
- Address 2
- STE 211
- City
- Lauderdale Lakes
- State
- Florida
- ZIP Code
- 33319-5625
- Phone
- (954) 766-4233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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