Valentin, Dimas Jose

Valentin, Dimas Jose is an sole proprietor health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Valentin, Dimas Jose can be contacted via phone (321) 434-5119.

Contact Information

Primary practice address
1350 Hickory St Melbourne FL 32901-3224
Phone: (321) 434-5119
Fax: (321) 434-1775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9103371 Florida

Profile Details

NPI number 1609058387
LBN Legal business name Valentin, Dimas Jose
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2007
Last updated Mar 16th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609058387 NPPES
Florida Other OT11174 FL OTR/L LICENCE NUMBER
Florida MEDICAID 015905500 FL OTR/L LICENCE NUMBER
Florida Other PA9103371 FL OTR/L LICENCE NUMBER

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