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MAURICIO TEJADA VALENCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
1528 DEL PRADO BLVD S, CAPE CORAL, FL 33990-3798
(239) 458-3338
(239) 458-0666
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11026534
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11026534
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119475500
FL
Enumeration date
07/21/2023
Last updated
08/28/2024
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