Provider Demographics
NPI:1598436305
Name:VALDES LANDABURO, RODOLFO VALENTIN
Entity Type:Individual
Prefix:
First Name:RODOLFO
Middle Name:VALENTIN
Last Name:VALDES LANDABURO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 N FLAGLER DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-6109
Mailing Address - Country:US
Mailing Address - Phone:561-659-6543
Mailing Address - Fax:561-659-3533
Practice Address - Street 1:2001 N FLAGLER DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-6109
Practice Address - Country:US
Practice Address - Phone:561-659-6543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-22
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11015433363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily