| Val-das Preventive Care Clinic Llc | |
|
6835 Sunset Strip Sunrise FL 33313-2864 | |
| (954) 514-7422 | |
| Not Available |
| Full Name | Val-das Preventive Care Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6835 Sunset Strip, Sunrise, Florida |
| Authorized Official Name and Position | Guerda J Valere (PRESIDENT) |
| Authorized Official Contact | 9545147422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Val-das Preventive Care Clinic Llc 6835 Sunset Strip Sunrise FL 33313-2864 Ph: (954) 514-7422 | Val-das Preventive Care Clinic Llc 6835 Sunset Strip Sunrise FL 33313-2864 Ph: (954) 514-7422 |
| NPI Number | 1366032245 |
|---|---|
| Provider Enumeration Date | 01/25/2021 |
| Last Update Date | 01/25/2021 |
| Medicare PECOS PAC ID | 7416362280 |
|---|---|
| Medicare Enrollment ID | O20210209002366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366032245 | NPI | - | NPPES |
| HCC15083 | Other | FL | CERTIFICATE OF EXEMPTION HEALTH CARE CLINIC LICENSURE - AHCA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Guerda Joseph Valere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306342563 PECOS PAC ID: 7719229400 Enrollment ID: I20190429002486 |
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