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Organization
JUDITH VALENCIA MD PA
Active
Organization
JUDITH VALENCIA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH VALENCIA MD (PRESIDENT)
(305) 222-9154
Entity
Organization
Contact information
Practice address
9804 SW 40TH ST, MIAMI, FL 33165-3912
(305) 222-9154
(305) 222-9155
Mailing address
9804 SW 40TH ST, MIAMI, FL 33165-3912
(305) 222-9154
(305) 222-9155
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME98844
FL
208D00000X
General Practice Physician
Primary
ME98844
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23624
BLUE CROSS/ BLUE SHIELD
FL
05
—
279199400
—
FL
01
—
ME98844
FLORIDA LICENSE
FL
Enumeration date
06/23/2009
Last updated
11/04/2022
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