Individual
RICHARD VALDESUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1921 WALDEMERE ST, SUITE 609, SARASOTA, FL 34239-2943
(941) 917-6500
(941) 917-6504
Mailing address
1921 WALDEMERE ST, SUITE 609, SARASOTA, FL 34239-2943
(941) 917-6500
(941) 917-6504
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MC0060196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609826734
GROUP NPI
FL
01
—
624522
AETNA
—
Enumeration date
11/30/2006
Last updated
11/22/2011
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