Healthcare Provider Details

I. General information

NPI: 1982508735
Provider Name (Legal Business Name): VALERIE MARCIA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 NW 12TH AVE
MIAMI FL
33136-1002
US

IV. Provider business mailing address

1740 SW 85TH AVE
MIAMI FL
33155-1013
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9570004
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: