Provider Demographics
NPI:1023004629
Name:VALENTINE, JAMES P (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:VALENTINE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10046 W OAKLAND PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6960
Mailing Address - Country:US
Mailing Address - Phone:954-749-8033
Mailing Address - Fax:954-749-8589
Practice Address - Street 1:10046 W OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6960
Practice Address - Country:US
Practice Address - Phone:954-749-8033
Practice Address - Fax:954-749-8589
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006533111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10731080OtherCAQH ID NUMBER
FL380018100Medicaid
FL380018100Medicaid
FLT53035Medicare UPIN