Valdes, Jorge L

Valdes, Jorge L is an sole proprietor health care provider with primary practice located at 17901 Nw 5Th St Suite 106, Pembroke Pines FL 33029-2810. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Valdes, Jorge L can be contacted via phone (954) 704-2888.

Contact Information

Primary practice address
17901 Nw 5Th St Suite 106 Pembroke Pines FL 33029-2810
Phone: (954) 704-2888
Fax: (954) 704-0227
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO2687 Florida

Profile Details

NPI number 1386698637
LBN Legal business name Valdes, Jorge L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Aug 19th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386698637 NPPES
Florida MEDICAID 390463600

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