Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SERGIO E VALDIVIA, PT
ActiveMR. SERGIO E VALDIVIA, PT is a Physical Therapy Assistant healthcare provider located in LAKE SUZY, Florida. NPI 1225030166 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LAKE SUZY, FL
Registration Details
- NPI Number
- 1225030166
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2005 (21.022515501353 yrs)
- Last Updated
- Jun 23, 2008
- License
-
PT10727 (FL)
Practice Information
- Address
-
12355 SW COUNTY ROAD 769SUITE BLAKE SUZY, FL, 342695923Browse FL providers · Browse ZIP 34269
- Phone
- 9414681660
- Fax
- 9414846024
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.