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:
Health care specialties
Specialty | Code | License # | 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 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386698637 | NPPES |
Florida | MEDICAID | 390463600 |
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