Mr. Dimas J. Valentin PA-C
Medical Physician Assistant in Melbourne, FL(View on Map)
Full Name
Mr. Dimas Jose Valentin PA-C
NPI Number
1609058387
NPI Type
Individual Provider
Gender
Male
Enumeration Date
12/04/2007
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9103371
Contact
Information
Purpose
Mailing
Location
Address
3300 S FISKE BLVD
1350 HICKORY ST
City
Rockledge
Melbourne
State
FL
FL
Postal Code
32955-4306
32901-3224
Country
US
US
Telephone Number
N/A
(321) 434-5119
Identifiers
Identifier
OT11174
015905500
PA9103371
Identifier State
FL
FL
FL
Identifier Issuer
FL OTR/L LICENCE NUMBER
Unknown
FL PA LICENCE NUMBER
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/16/2020