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General NPI Number Information
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NPI Number | 1215539895
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Entity Type | Organization
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Legal Business Name | SHI KEYS LLC
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 3301 OVERSEAS HWY
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City | MARATHON
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State | FL
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Zip | 33050-2329
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Country | US
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Telephone | 305-743-5533
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 277615
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City | MIRAMAR
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State | FL
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Zip | 33027-7615
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Country | US
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Telephone | 786-457-4900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RUDDY VALDES
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Credential | DO
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Telephone | 954-615-7179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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