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Individual
MR. SERGIO E VALDIVIA
Active
Individual
MR. SERGIO E VALDIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10727
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001872584
HIGHMARK BCBS
—
01
—
Y053N
BCBS
FL
Enumeration date
08/11/2005
Last updated
06/23/2008
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