Individual
AMANDA DANIELLE VALDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 870-4000
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA579
STATE LICENSE
FL
Enumeration date
05/31/2018
Last updated
12/29/2023
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