Individual
DR. JOSE GASPAR VALEDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1771
(321) 434-1775
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD23998
TN
2084N0400X
Neurology Physician
Primary
ME74191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017385700
—
FL
01
—
130018475
RAILROAD MEDICARE
TN
05
—
1780671503
—
TN
Enumeration date
10/06/2005
Last updated
10/31/2018
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