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Individual

RAUL CARLOS VALDESCRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12953 PALMS WEST DR, BLDG 6 SUITE 101, LOXAHATCHEE, FL 33470-4990
(561) 795-2400
(561) 795-6813
Mailing address
12953 PALMS WEST DR, BLDG 6 SUITE 101, LOXAHATCHEE, FL 33470-4990
(561) 795-2400
(561) 795-6813

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME50920
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036445200
FL
Enumeration date
07/13/2006
Last updated
06/25/2013
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