Individual
HARRY VALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7555 NW 135TH ST, GAINESVILLE, FL 32653-2458
(352) 562-5489
Mailing address
7555 NW 135TH ST, GAINESVILLE, FL 32653-2458
(352) 562-5489
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA-22607
FL
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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