Individual
DR. RICHARD GERMAN VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
404 NW HALL OF FAME DR, LAKE CITY, FL 32055-4833
(386) 755-4007
(386) 755-7098
Mailing address
PO BOX 7404, LAKE CITY, FL 32055-7404
(386) 755-4007
(386) 755-7098
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
26245 R
PR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
4301093240
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME116272
FL
Other
Enumeration date
07/25/2007
Last updated
11/04/2014
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