Organization
BRIAN VALLE DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN VALLE DO (SOLE MBR)
(305) 790-6267
Entity
Organization
Contact information
Practice address
7100 W 20TH AVE STE G166, HIALEAH, FL 33016-1805
(605) 835-0551
(305) 696-7704
Mailing address
10811 NW 7TH ST APT 14, MIAMI, FL 33172-3795
(305) 790-6267
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021242800
—
FL
Enumeration date
08/03/2021
Last updated
08/03/2021
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