Individual
GERARDO VALDES DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
Mailing address
13551 SW 62ND LN, MIAMI, FL 33183-5004
(786) 508-7512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TRN39565
FL
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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