Provider Demographics
NPI:1952287682
Name:VALENCIA, LEIDY JOHANNA
Entity type:Individual
Prefix:
First Name:LEIDY
Middle Name:JOHANNA
Last Name:VALENCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7321 MOUNT VERNON RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-3851
Mailing Address - Country:US
Mailing Address - Phone:321-805-0193
Mailing Address - Fax:
Practice Address - Street 1:7321 MOUNT VERNON RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-3851
Practice Address - Country:US
Practice Address - Phone:321-805-0193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No171R00000XOther Service ProvidersInterpreter