Valedon, Jose Gaspar

Valedon, Jose Gaspar is an individual health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Valedon, Jose Gaspar can be contacted via phone (321) 434-1771.

Contact Information

Primary practice address
1350 Hickory St Melbourne FL 32901-3224
Phone: (321) 434-1771
Fax: (321) 434-1775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD23998 Tennessee
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME74191 Florida

Profile Details

NPI number 1780671503
LBN Legal business name Valedon, Jose Gaspar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Oct 31st, 2018 - about 7 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 1780671503 NPPES
Tennessee MEDICAID 1780671503
Tennessee MEDICAID 017385700
Tennessee Other 130018475

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