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Organization

SMALL HOSPITAL INNOVATIONS LLC

Active
Other names
Hospital Innovation Physicians
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RUDDY VALDES D.O. (PRESIDENT)
(786) 457-4900
Entity
Organization

Contact information

Practice address
524 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
(954) 615-7179
Mailing address
PO BOX 277615, MIRAMAR, FL 33027-7615
(786) 457-4900

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS7985
FL
207P00000X
Emergency Medicine Physician
208M00000X
Hospitalist Physician
OS7985
FL
208M00000X
Hospitalist Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184040560
TX
Enumeration date
03/10/2014
Last updated
09/25/2025
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