Individual
IVAN VALDES AGUERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9826 NW 41ST ST, SUNRISE, FL 33351-7637
(954) 268-4684
Mailing address
9826 NW 41ST ST, SUNRISE, FL 33351-7637
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11043670
FL
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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