Individual
RUDDY VALDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
524 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
(954) 615-7179
Mailing address
3600 RED RD STE 401, MIRAMAR, FL 33025-6014
(786) 457-4900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS0007985
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003267157A
—
GA
05
—
258468900
—
FL
01
—
49814
BCBS
FL
01
—
P0007985
RRMCR
FL
Enumeration date
01/19/2006
Last updated
01/26/2023
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