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Individual

DR. EDEL W VALDES-VEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1412 W VINE ST, KISSIMMEE, FL 34741-4051
(407) 483-0672
(407) 348-5882
Mailing address
1412 W VINE ST, KISSIMMEE, FL 34741-4051
(407) 483-0672
(407) 348-5882

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12845
PR
208000000X
Pediatrics Physician
Primary
ACN437
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004787100
FL
Enumeration date
06/12/2006
Last updated
09/25/2018
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