Provider Demographics
NPI:1952302283
Name:VALERIE KOLBERT ARNP PA
Entity Type:Organization
Organization Name:VALERIE KOLBERT ARNP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:KOLBERT
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP BC
Authorized Official - Phone:561-392-9993
Mailing Address - Street 1:500 NE SPANISH RIVER BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4515
Mailing Address - Country:US
Mailing Address - Phone:561-392-9993
Mailing Address - Fax:561-392-3587
Practice Address - Street 1:500 NE SPANISH RIVER BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4515
Practice Address - Country:US
Practice Address - Phone:561-392-9993
Practice Address - Fax:561-392-3587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2007-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1597812364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ0272Medicare PIN