Provider Demographics
NPI:1467028787
Name:DULCIO, VALENCIA C (APRN)
Entity Type:Individual
Prefix:
First Name:VALENCIA
Middle Name:C
Last Name:DULCIO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 CYPRESS GARDENS BLVD
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-4452
Mailing Address - Country:US
Mailing Address - Phone:863-356-3754
Mailing Address - Fax:863-356-5200
Practice Address - Street 1:385 CYPRESS GARDENS BLVD
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-4452
Practice Address - Country:US
Practice Address - Phone:863-356-3754
Practice Address - Fax:863-356-5200
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11013332363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily