Individual
REBECA CARBALLO VALDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2916 42ND ST W, LEHIGH ACRES, FL 33971-5790
(305) 586-6736
Mailing address
2916 42ND ST W, LEHIGH ACRES, FL 33971-5790
(305) 586-6736
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11043844
FL
363LF0000X
Family Nurse Practitioner
Primary
11043844
FL
363LF0000X
Family Nurse Practitioner
APRN11043844
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11043844
FL
Other
Enumeration date
12/04/2025
Last updated
05/25/2026
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