Organization
VALENCIA MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH VALENCIA (PRESIDENT)
(305) 222-9154
Entity
Organization
Contact information
Practice address
9804 SW 40TH ST, MIAMI, FL 33165-3912
(305) 222-9154
(305) 222-9155
Mailing address
9804 SW 40TH ST, MIAMI, FL 33165-3912
(305) 222-9154
(305) 222-9155
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
ME98844
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115804400
—
FL
01
—
PQ912
MEDICARE
FL
Enumeration date
05/04/2010
Last updated
11/04/2022
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