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Individual

MR. ALFREDO VALENTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
TCMS

Contact information

Practice address
3201 BUDINGER AVE, SAINT CLOUD, FL 34769-7203
(407) 910-2941
(888) 477-7678
Mailing address
665 WOODRIDGE DR, FERN PARK, FL 32730-2932
(407) 928-3035

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008033800
FL
Enumeration date
07/28/2017
Last updated
07/28/2017
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