Organization
VICTORIA VALDESUSO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA M VALDESUSO PSYD, ARNP (PRESIDENT)
(786) 263-3854
Entity
Organization
Contact information
Practice address
101 N OCEAN DR, SUITE # 212, HOLLYWOOD, FL 33019-1728
(786) 263-3854
Mailing address
932 EUCLID AVE, APT #10, MIAMI BEACH, FL 33139-0821
(786) 263-3854
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PY6404
FL
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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