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Organization
PINES ADVANCED MEDICAL GROUP, P.A.
Active
Organization
PINES ADVANCED MEDICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARDO ALBERTO VALDES M.D. (PHYSICIAN / OWNER)
(954) 704-2888
Entity
Organization
Contact information
Practice address
17901 NW 5TH ST, SUITE 106, PEMBROKE PINES, FL 33029-2810
(954) 704-2888
(954) 704-0227
Mailing address
17901 NW 5TH ST, SUITE 106, PEMBROKE PINES, FL 33029-2810
(954) 704-2888
(954) 704-0227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME84420
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K5841
MEDICARE
FL
Enumeration date
10/09/2007
Last updated
10/09/2007
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