DANIEL OMAR VALDIVIA

BRADENTON, FL
NPI1801575345
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: FL  2023060082)
Enumeration Date2023-07-12
Last Update Date2023-07-12
Business Address
DANIEL OMAR VALDIVIA APRN
13551 LUXE AVE APT 106
BRADENTON, FL 34211-4507
Phone number: 941-920-6646
Mailing Address
DANIEL OMAR VALDIVIA APRN
13551 LUXE AVE APT 106
BRADENTON, FL 34211-4507
Phone number: 941-920-6646