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Individual

MISS MARIA T VALDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6101 PINE RIDGE RD, NAPLES, FL 34119-3900
(239) 348-4509
(239) 348-4529
Mailing address
6101 PINE RIDGE RD, NAPLES, FL 34119-3900
(239) 348-4509
(239) 348-4529

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
205635-1
NY
207RG0100X
Gastroenterology Physician
Primary
ME72022
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16159V
MEDICARE PTAN
FL
05
272783800
FL
Enumeration date
09/07/2005
Last updated
09/23/2020
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