Individual
MR. RENFORD VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5803 NW 151ST ST, #101, MIAMI LAKES, FL 33014-2473
(305) 231-5266
(305) 231-5264
Mailing address
5803 NW 151ST ST, #101, MIAMI LAKES, FL 33014-2473
(305) 231-5266
(305) 231-5264
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN1071511
FL
174400000X
Specialist
Primary
PTA18599
FL
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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