Provider Demographics
NPI:1760819379
Name:VALENTINO, ROBIN MAUREEN (LMT, MMP)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:MAUREEN
Last Name:VALENTINO
Suffix:
Gender:F
Credentials:LMT, MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16900 SW 93RD AVE
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-4413
Mailing Address - Country:US
Mailing Address - Phone:305-807-1269
Mailing Address - Fax:
Practice Address - Street 1:16900 SW 93RD AVE
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-4413
Practice Address - Country:US
Practice Address - Phone:305-807-1269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-27
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA67749225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist