Provider Demographics
NPI:1982418364
Name:VALDES DE MORAES, VANESSA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:
Last Name:VALDES DE MORAES
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8511 ARDOCH RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1472
Mailing Address - Country:US
Mailing Address - Phone:786-423-3166
Mailing Address - Fax:
Practice Address - Street 1:8241 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3334
Practice Address - Country:US
Practice Address - Phone:305-978-2330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40502183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist