Provider Demographics
NPI:1285818237
Name:ROBERT J VALINS DPM PA
Entity Type:Organization
Organization Name:ROBERT J VALINS DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF BILLING
Authorized Official - Prefix:
Authorized Official - First Name:RIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-788-3600
Mailing Address - Street 1:6326 FORT KING RD
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-2531
Mailing Address - Country:US
Mailing Address - Phone:813-788-3600
Mailing Address - Fax:813-788-7010
Practice Address - Street 1:6326 FORT KING RD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-2531
Practice Address - Country:US
Practice Address - Phone:813-788-3600
Practice Address - Fax:813-788-7010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP01116213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL041304600Medicaid
FL041304600Medicaid
FL=========OtherTAX IDENTIFICATION (ITIN)
FL87598Medicare PIN
FLT55462Medicare UPIN