Individual
DANIEL OMAR VALDIVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
13551 LUXE AVE APT 106, BRADENTON, FL 34211-4507
(941) 920-6646
Mailing address
13551 LUXE AVE APT 106, BRADENTON, FL 34211-4507
(941) 920-6646
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2023060082
FL
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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