Organization
PALMS WEST OB-GYN ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL CARLOS VALDESCRUZ MD (PRESIDENT)
(561) 795-2400
Entity
Organization
Contact information
Practice address
12953 PALMS WEST DR, SUITE 101 BLDG 6, LOXAHATCHEE, FL 33470-4990
(561) 795-2400
(561) 795-6813
Mailing address
12953 PALMS WEST DR, SUITE 101 BLDG 6, LOXAHATCHEE, FL 33470-4990
(561) 795-2400
(561) 795-6813
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260434500
—
FL
Enumeration date
07/13/2006
Last updated
10/23/2008
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