MEDICARE: ROXANA VALDES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	RN9378536	FL

General Provider Information

NPI Number	:	1902765324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROXANA VALDES

Provider Business Mailing Address
First Line	:	9106 CANBERLEY DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2221
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9106 CANBERLEY DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2221
Country	:	US
Telephone Number	:	305-710-8693
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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