Search › Florida › 363LG0600X
Mauricio Tejada Valencia, APRN
NPI 1053091371 · on the registry since 2023
Practice
- Address
- 1528 Del Prado Blvd S
Cape Coral, FL 33990 - Phone
- (239) 458-3338
- Fax
- (239) 458-0666
- Organisation at this address
- Ima Pharmacy Cape Coral
Millennium Physician Group Llc
Radiology Associates Of Tampa PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Additional practice sites
- 13681 Doctors Way, Fort Myers, FL
- 13340 Metro Pkwy Ste 200, Fort Myers, FL
Registry record
- Primary taxonomy
- 363LG0600X
363LG0600X
- Also registered as
- 363LA2100X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida