Valencia Neurospina Center Pa | |
729 County Road 466 Lady Lake FL 32159-6340 | |
(352) 633-1880 | |
(352) 633-1882 |
Full Name | Valencia Neurospina Center Pa |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 729 County Road 466, Lady Lake, Florida |
Authorized Official Name and Position | Christopher Valencia (PRESIDENT) |
Authorized Official Contact | 3526331880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Valencia Neurospina Center Pa 729 County Road 466 Lady Lake FL 32159-6340 Ph: (352) 633-1880 | Valencia Neurospina Center Pa 729 County Road 466 Lady Lake FL 32159-6340 Ph: (352) 633-1880 |
NPI Number | 1598026858 |
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Provider Enumeration Date | 06/04/2012 |
Last Update Date | 06/04/2012 |
Identifier | Type | State | Issuer |
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1598026858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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