# PINES FOOT & ANKLE SURGICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326180795
- **Authorized official:** DR. JORGE L VALDES DPM (PRESIDENT)
- **Authorized official phone:** (954) 704-2888

## Contact information

- **Practice address:** 17901 NW 5TH ST, SUITE \# 106, PEMBROKE PINES, FL 33029-2810
- **Practice address phone:** (954) 704-2888
- **Practice address fax:** (954) 704-0227
- **Mailing address:** PO BOX 825892, PEMBROKE PINES, FL 33082-5892
- **Mailing address phone:** (954) 704-2888
- **Mailing address fax:** (954) 704-0227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | PO-2687 | FL | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | PO-2687 | FL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO-2687 | FL | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 08/19/2010