Provider Demographics
NPI:1700282399
Name:VALDES, DAMARIS (ARNP)
Entity Type:Individual
Prefix:
First Name:DAMARIS
Middle Name:
Last Name:VALDES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8181 NW S RIVER DR
Mailing Address - Street 2:D 410
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7447
Mailing Address - Country:US
Mailing Address - Phone:305-825-6101
Mailing Address - Fax:
Practice Address - Street 1:8181 NW S RIVER DR
Practice Address - Street 2:D 410
Practice Address - City:MEDLEY
Practice Address - State:FL
Practice Address - Zip Code:33166-7447
Practice Address - Country:US
Practice Address - Phone:305-825-6101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9293928363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily