Individual
MRS. ATHENA LARDIZABAL VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2236 GREEN HEDGES WAY, WESLEY CHAPEL, FL 33544-8189
(813) 999-0505
(813) 701-9450
Mailing address
2236 GREEN HEDGES WAY, WESLEY CHAPEL, FL 33544-8189
(813) 999-0505
(813) 701-9450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME66946
FL
207R00000X
Internal Medicine Physician
22493
AZ
207R00000X
Internal Medicine Physician
A55041
CA
207R00000X
Internal Medicine Physician
Primary
ME66946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110144700
—
FL
01
—
25493
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/25/2007
Last updated
04/17/2026
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