Individual
DR. LOUIS KEVIN VALENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19621 COCHRAN BLVD, UNIT #1, PORT CHARLOTTE, FL 33948
(941) 627-9095
(941) 629-6993
Mailing address
19621 COCHRAN BLVD, UNIT #1, PORT CHARLOTTE, FL 33948
(941) 627-9095
(941) 629-6993
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME 49879
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME49879
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME49879
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02518
BCBS
FL
01
—
050064923
RR MEDICARE
FL
01
—
1831269752
LABOR AND INDUSTRIES
FL
Enumeration date
11/08/2006
Last updated
04/16/2014
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