Healthcare Provider Details

I. General information

NPI: 1598622391
Provider Name (Legal Business Name): JORGE ALBERTO VALEDON-NAVARRO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 SE 2ND PL APT 406
GAINESVILLE FL
32601-6566
US

IV. Provider business mailing address

20 SE 2ND PL APT 406
GAINESVILLE FL
32601-6566
US

V. Phone/Fax

Practice location:
  • Phone: 787-635-2606
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPS69858
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: