Provider Demographics
NPI:1083223549
Name:DOVAL, AURORA (MSN, APRN, AGNP-C)
Entity Type:Individual
Prefix:
First Name:AURORA
Middle Name:
Last Name:DOVAL
Suffix:
Gender:F
Credentials:MSN, APRN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19190 NW 89TH CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-6229
Mailing Address - Country:US
Mailing Address - Phone:786-756-0303
Mailing Address - Fax:
Practice Address - Street 1:1701 NW 82ND AVE
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1015
Practice Address - Country:US
Practice Address - Phone:786-756-0303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11008424363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner