Valentine, Eugene Raphael

Valentine, Eugene Raphael is an individual health care provider with primary practice located at 235 Carmel Dr , Fort Walton Beach FL 32547-1957. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Valentine, Eugene Raphael can be contacted via phone (850) 862-3141.

Contact Information

Primary practice address
235 Carmel Dr Fort Walton Beach FL 32547-1957
Phone: (850) 862-3141
Fax: (850) 862-7732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME12756 Florida
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME12756 Florida

Profile Details

NPI number 1376561159
LBN Legal business name Valentine, Eugene Raphael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jan 19th, 2010 - about 16 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 1376561159 NPPES
Florida Other 46079 BLUE CROSS BLUE SHIELD
Florida MEDICAID 052428000 BLUE CROSS BLUE SHIELD

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