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NPI Code Detail

MEDICARE: JOHANNA VALENCIA ARNP

MEDICARE: JOHANNA VALENCIA ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner11003412FL

General Provider Information

NPI Number : 1558915983
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHANNA VALENCIA ARNP
Provider Business Mailing Address
First Line : 17534 SW 138TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33177-6479
Country : US
Telephone Number : 305-992-3584
Fax Number :
Provider Business Practice Location Address
First Line : 1400 NW 12TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33136-1003
Country : US
Telephone Number : 305-243-4902
Fax Number : 305-689-3964
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2019
Last Update Date : 02/05/2026

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