Provider Demographics
NPI:1699393033
Name:VALANT ASSOCIATES, LLC
Entity Type:Organization
Organization Name:VALANT ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:POTO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:772-446-4883
Mailing Address - Street 1:266 NW PEACOCK BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-2271
Mailing Address - Country:US
Mailing Address - Phone:772-446-4883
Mailing Address - Fax:772-446-4875
Practice Address - Street 1:266 NW PEACOCK BLVD STE 205
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-2271
Practice Address - Country:US
Practice Address - Phone:772-446-4883
Practice Address - Fax:772-446-4875
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALANT ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty