Provider Demographics
NPI:1851404891
Name:VALIN, ELMER L (MD)
Entity Type:Individual
Prefix:DR
First Name:ELMER
Middle Name:L
Last Name:VALIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 DON WICKHAM DR STE 115
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1977
Mailing Address - Country:US
Mailing Address - Phone:352-323-9530
Mailing Address - Fax:321-842-8290
Practice Address - Street 1:1920 DON WICKHAM DR STE 115
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1977
Practice Address - Country:US
Practice Address - Phone:352-323-9530
Practice Address - Fax:321-842-8290
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT032798174400000X, 208600000X
FLME128557208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010032798CT03OtherANTHEM BLUE CROSS SHIELD
CT020001374OtherMEDICARE
FL120007500Medicaid
CT61604721OtherUNITED HEALTH CARE
CT1851404891OtherNPI
CT715931 #0306OtherCONNECTICARE
CTOV8238OtherHEALTH NET
CTP959966OtherOXFORD HEALTH PLANS
CT2460669OtherAETNA