Valencia, Athena Lardizabal
Valencia, Athena Lardizabal is an individual health care provider with primary practice located at 2236 Green Hedges Way , Wesley Chapel FL 33544-8189. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Valencia, Athena Lardizabal can be contacted via phone (813) 999-0505.Contact Information
Primary practice address
2236 Green Hedges Way
Wesley Chapel FL 33544-8189
Phone: (813) 999-0505
Fax: (813) 701-9450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME66946 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22493 | Arizona |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A55041 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME66946 | Florida |
Profile Details
| NPI number | 1063631240 |
|---|---|
| LBN Legal business name | Valencia, Athena Lardizabal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Oct 3rd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063631240 | NPPES |
| Florida | MEDICAID | 110144700 | |
| Florida | Other | 25493 |
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