Individual
VALERIA CRISTINA BALDIVIESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1573 W FAIRBANKS AVE STE 210, WINTER PARK, FL 32789-4679
(407) 303-6729
(407) 628-2037
Mailing address
1573 W FAIRBANKS AVE STE 210, WINTER PARK, FL 32789-4679
(407) 303-6729
(407) 628-2037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME134252
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME134252
FL
Other
Enumeration date
03/18/2015
Last updated
11/03/2021
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