Organization
STARUS PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDEL VALDES MD (OWNER)
(407) 483-8814
Entity
Organization
Contact information
Practice address
6001 VINELAND RD STE 103, ORLANDO, FL 32819-7829
(407) 483-8814
(407) 978-6507
Mailing address
6001 VINELAND RD STE 103, ORLANDO, FL 32819-7829
(407) 483-8814
(407) 978-6507
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ACN437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004787100
—
FL
Enumeration date
08/04/2016
Last updated
08/04/2016
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