Individual
MIKE VALCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMT#82541
Contact information
Practice address
1010 SEMINOLE DR, 106, FORT LAUDERDALE, FL 33304-3201
(954) 604-1212
Mailing address
1010 SEMINOLE DR, 106, FORT LAUDERDALE, FL 33304-3201
(954) 604-1212
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
LMT 82541
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
AFFORDABLE CARE ACT
FL
Enumeration date
08/04/2016
Last updated
08/04/2016
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