| Valencias Medical Care Pa | |
|
101 Nw 1st Ave South Bay FL 33493-1829 | |
| (561) 993-0092 | |
| (561) 993-0488 |
| Full Name | Valencias Medical Care Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Nw 1st Ave, South Bay, Florida |
| Authorized Official Name and Position | Lucy Valencia (PRESIDENT) |
| Authorized Official Contact | 5619930092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valencias Medical Care Pa 101 Nw 1st Ave South Bay FL 33493-1829 Ph: (561) 993-0092 | Valencias Medical Care Pa 101 Nw 1st Ave South Bay FL 33493-1829 Ph: (561) 993-0092 |
| NPI Number | 1225209141 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 08/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225209141 | NPI | - | NPPES |
| 51596A | Other | FL | MEDICARE P-TAN |
| 258639800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS8098 (Florida) | Primary |
Valencias Medical Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Nw 1st Ave, South Bay, FL 33493 Phone: 561-993-0092 Fax: 561-993-0488 |