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Individual

MR. DALLAS FRANCISCO VALENTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
13670 WALSINGHAM RD, LARGO, FL 33774-3532
(727) 593-9848
(727) 596-4532
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4074245548
MI
363LF0000X
Family Nurse Practitioner
Primary
APRN9383285
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12290315
CAQH
MI
01
4074245548
STATE MEDICAL LICENSE
MI
01
ARNP9383285
STATE MEDICAL LICENSE
FL
Enumeration date
09/14/2011
Last updated
08/15/2024
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