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Individual

VALENTIN JUNIOR ANDRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1272 NW 119TH ST, MIAMI, FL 33167-3232
(305) 685-5688
(305) 267-1817
Mailing address
200 SW 85TH AVE, APT 108, PEMBROKE PINES, FL 33025-5416
(407) 219-6087

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
019240
PR
208D00000X
General Practice Physician
Primary
ACN 841
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018679000
FL
Enumeration date
01/21/2016
Last updated
03/31/2017
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