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Organization
VALLADARES MEDICAL CENTER, LLC
Active
Organization
VALLADARES MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON ELEAZAR VALLADARES PA-C (PHYSICIAN ASSISTANT)
(786) 499-7099
Entity
Organization
Contact information
Practice address
10651 SW 108TH AVE APT 2B, MIAMI, FL 33176-8153
(786) 499-7099
Mailing address
10651 SW 108TH AVE APT 2B, MIAMI, FL 33176-8153
(786) 499-7099
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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