Provider Demographics
NPI:1972997401
Name:VALDES, MARGELIA
Entity type:Individual
Prefix:
First Name:MARGELIA
Middle Name:
Last Name:VALDES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3819 MURRELL RD STE B
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-4752
Mailing Address - Country:US
Mailing Address - Phone:321-252-1314
Mailing Address - Fax:
Practice Address - Street 1:3819 MURRELL RD STE B
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-4752
Practice Address - Country:US
Practice Address - Phone:321-252-1412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-23
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5050237700000X
FLAI173174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAS5050OtherHIS LISENCE