Provider Demographics
NPI:1982015988
Name:DEL VALLE, NEIL PELAUSA
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:PELAUSA
Last Name:DEL VALLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 W SAMPLE RD APT 304
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-3268
Mailing Address - Country:US
Mailing Address - Phone:954-464-3680
Mailing Address - Fax:
Practice Address - Street 1:5900 W SAMPLE RD APT 304
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-3268
Practice Address - Country:US
Practice Address - Phone:954-464-3680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist