Individual
DR. JUAN MARTIN VALDIVIA VALDIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2727 W. MARTIN LUTHER KING JR. BLVD, SUITE 460, TAMPA, FL 33607-6383
(813) 879-4328
(813) 443-8152
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4928
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
4301093755
MI
207T00000X
Neurological Surgery Physician
Primary
ME122350
FL
207T00000X
Neurological Surgery Physician
PG 76521
AZ
Other
Enumeration date
06/06/2007
Last updated
10/22/2015
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