Individual
JORGE L VALDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
17901 NW 5TH ST, SUITE 106, PEMBROKE PINES, FL 33029-2810
(954) 704-2888
(954) 704-0227
Mailing address
17901 NW 5TH ST, SUITE 106, PEMBROKE PINES, FL 33029-2810
(954) 704-2888
(954) 704-0227
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390463600
—
FL
Enumeration date
05/20/2006
Last updated
08/19/2010
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