Provider Demographics
NPI:1669844841
Name:VALERY, HEATHER BROOKE (DO)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:BROOKE
Last Name:VALERY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:BROOKE
Other - Last Name:CAPLINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:160 JFK DR STE 101
Mailing Address - Street 2:
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6638
Mailing Address - Country:US
Mailing Address - Phone:561-964-1215
Mailing Address - Fax:561-964-1245
Practice Address - Street 1:160 JFK DR STE 101
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-6638
Practice Address - Country:US
Practice Address - Phone:561-964-1215
Practice Address - Fax:561-964-1245
Is Sole Proprietor?:No
Enumeration Date:2015-10-27
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS15424208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100311100Medicaid