Provider Demographics
NPI:1922337955
Name:VALBUENA, JULIO E (MD)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:E
Last Name:VALBUENA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JULIO
Other - Middle Name:E
Other - Last Name:VALBUENA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2227 OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-2623
Mailing Address - Country:US
Mailing Address - Phone:352-383-5900
Mailing Address - Fax:
Practice Address - Street 1:2300 KURT ST
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-6169
Practice Address - Country:US
Practice Address - Phone:352-589-2501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-22
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLL506207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0016587Medicare UPIN