Organization Active NPI

Val-Das Preventive Care Clinic LLC

  • Family Medicine Physician
  • Sunrise, FL
National Provider Identifier
1366032245
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VAL-DAS PREVENTIVE CARE CLINIC LLC
Practice address
6835 Sunset Strip
Sunrise, FL 33313-2864
Phone
(954) 514-7422
NPI assigned
Jan 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Guerda J Valere, APRN
Title
President
Phone
(954) 514-7422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6835 Sunset Strip
Sunrise, FL 33313-2864

Mailing address

6835 Sunset Strip
Sunrise, FL 33313-2864
Phone (954) 514-7422

Other identifiers 1

IdentifierTypeStateIssuer
HCC15083OtherFLCERTIFICATE OF EXEMPTION HEALTH CARE CLINIC LICENSURE - AHCA

National Provider Directory

National Provider Directory

Locations

6835 Sunset Strip
Sunrise, FL 33313
Phone (800) 584-1718

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1366032245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 SUNSET STRIP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333132864",
            "telephone_number": "954-514-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6835 SUNSET STRIP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333132864",
            "telephone_number": "954-514-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAL-DAS PREVENTIVE CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "VALERE",
        "authorized_official_first_name": "GUERDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-514-7422",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF EXEMPTION HEALTH CARE CLINIC LICENSURE - AHCA",
            "identifier": "HCC15083",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.