Individual
GERSON ANTONIO VALENCIA VILLEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 649-6907
(407) 481-2035
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 649-6907
(407) 481-2035
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
271013
NY
2080P0202X
Pediatric Cardiology Physician
Primary
ME142063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103890500
—
FL
Enumeration date
07/16/2012
Last updated
10/10/2019
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