Provider Demographics
NPI:1184779738
Name:VALYO, ANNETTE M (BA)
Entity type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:M
Last Name:VALYO
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-2335
Mailing Address - Country:US
Mailing Address - Phone:321-676-6666
Mailing Address - Fax:321-676-6652
Practice Address - Street 1:2000 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-2335
Practice Address - Country:US
Practice Address - Phone:321-676-6666
Practice Address - Fax:321-676-6652
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator