Individual
NICOLE MONGILARDI VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1716
(352) 273-9804
Mailing address
PO BOX 100277, GAINESVILLE, FL 32610-0277
(352) 273-9804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME157885
FL
207RI0200X
Infectious Disease Physician
Primary
ME157885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115236300
—
FL
Enumeration date
06/23/2015
Last updated
11/16/2023
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