Male or Other

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)

Code

363AM0700X

Primary Taxonomy

Yes

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

Provider Address

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