Valencia, Gustavo Adolfo
Valencia, Gustavo Adolfo is an sole proprietor health care provider with primary practice located at 1116 N 61St Ave , Hollywood FL 33024-6059. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Valencia, Gustavo Adolfo can be contacted via phone (954) 397-1124.Contact Information
Primary practice address
1116 N 61St Ave
Hollywood FL 33024-6059
Phone: (954) 397-1124
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
NPI number | 1891417374 |
---|---|
LBN Legal business name | Valencia, Gustavo Adolfo |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 13th, 2022 |
Last updated | Sep 13th, 2022 - about 3 years ago |
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.
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