Valdes, Larry
Valdes, Larry is an sole proprietor health care provider with primary practice located at 4402 W Minnehaha St , Tampa FL 33614. He recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as his primary health care specialty. Valdes, Larry can be contacted via phone (813) 841-9823.Contact Information
Primary practice address
4402 W Minnehaha St
Tampa FL 33614
Phone: (813) 841-9823
Fax: (813) 349-0029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X |
Profile Details
| NPI number | 1306361266 |
|---|---|
| LBN Legal business name | Valdes, Larry |
| Credentials | CEO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2017 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1306361266 | NPPES |
| Florida | MEDICAID | 33614 |
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