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Provider Information for 1942445127

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. YUNUEN MANUEL VALENZUELA M.D.

Gender: MALE

Individual NPI: 1942445127

Calendar   Last Updated:  2018-06-08
  Certification Date: 

Details

Name Value
NPI 1942445127
Enumeration Date 2008-12-02
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 500 VONDERBURG DR STE 102
BRANDON, FL 33511-5968
United States

Phone: 813-681-5658 | Fax: 813-681-5250
View Map External Link
Primary Practice Address 500 VONDERBURG DR STE 102
BRANDON, FL 33511
United States

Phone: 813-681-5658 | Fax: 813-681-5250
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207R00000X - Internal Medicine FL ME135245