Individual
DIANE CECILIA VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1900 DON WICKHAM DR, MP SL ADMIN, CLERMONT, FL 34711-1979
(352) 536-8840
(352) 536-8841
Mailing address
1900 DON WICKHAM DR, MP SL ADMIN, CLERMONT, FL 34711-1979
(352) 536-8840
(352) 536-8841
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2635642
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002064800
—
FL
01
—
ARNP2635642
MEDICAL LICENSE
FL
Enumeration date
04/12/2007
Last updated
11/15/2016
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