Individual
DR. MARIA VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1522 EMERSON ST, JACKSONVILLE, FL 32207-6102
(904) 396-3964
(904) 396-0128
Mailing address
3710 GRANDY AVE, JACKSONVILLE, FL 32207-6112
(904) 398-1471
(904) 398-1460
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME93152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263972600
—
FL
05
—
263972601
—
FL
05
—
263972602
—
FL
05
—
263972603
—
FL
05
—
263972604
—
FL
05
—
263972605
—
FL
05
—
263972606
—
FL
05
—
273550400
—
FL
Enumeration date
09/28/2006
Last updated
01/25/2012
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