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Contact Information

LARRY VALDES, CEO
4402 W MINNEHAHA ST
TAMPA, FL33614
 Phone: 813-841-9823
 Fax: 813-349-0029
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for LARRY VALDES · (Male)

NPI # 1306361266
Status Active
Credentials CEO
Entity Individual
Enumeration date 08/11/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL Medicaid 33614
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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