Individual
DR. MAURICIO VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 974-2201
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME131785
FL
208M00000X
Hospitalist Physician
Primary
ME131785
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021638500
—
FL
01
—
88I5F
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/15/2014
Last updated
02/19/2024
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