Organization
RICHARD G VALENZUELA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD G VALENZUELA MD (SOLE PROPRIERTOR)
(386) 755-4007
Entity
Organization
Contact information
Practice address
348 NE METHODIST TER, SUITE 101, LAKE CITY, FL 32055-3408
(386) 755-4007
Mailing address
348 NE METHODIST TER, SUITE 101, LAKE CITY, FL 32055-3408
(386) 755-4007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME116272
FL
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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