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Organization
VAL-DAS PREVENTIVE CARE CLINIC LLC
Active
Organization
VAL-DAS PREVENTIVE CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUERDA J VALERE APRN (PRESIDENT)
(954) 514-7422
Entity
Organization
Contact information
Practice address
6835 SUNSET STRIP, SUNRISE, FL 33313-2864
(954) 514-7422
Mailing address
6835 SUNSET STRIP, SUNRISE, FL 33313-2864
(954) 514-7422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC15083
CERTIFICATE OF EXEMPTION HEALTH CARE CLINIC LICENSURE - AHCA
FL
Enumeration date
01/25/2021
Last updated
01/25/2021
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