Provider Demographics
NPI:1396801338
Name:VALENTI, JAMES A (DO)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:VALENTI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5955 RAND BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-5160
Mailing Address - Country:US
Mailing Address - Phone:941-552-7530
Mailing Address - Fax:941-926-4883
Practice Address - Street 1:5955 RAND BOULEVARD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-5160
Practice Address - Country:US
Practice Address - Phone:941-552-7530
Practice Address - Fax:941-926-4883
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9376207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A16799Medicare UPIN
FLA16799Medicare ID - Type Unspecified