Healthcare Provider Details

I. General information

NPI: 1598596231
Provider Name (Legal Business Name): MICHEL VALDES CAA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2024
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

855 CENTRAL AVE UNIT 907
SAINT PETERSBURG FL
33701-3678
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-8336
  • Fax:
Mailing address:
  • Phone: 305-896-7731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License NumberAA985
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License NumberNPO1
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: