| Valentina Medical Center Llc | |
|
413 Del Prado Blvd S Ste 201 Cape Coral FL 33990-5703 | |
| (305) 741-1603 | |
| Not Available |
| Full Name | Valentina Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 413 Del Prado Blvd S Ste 201, Cape Coral, Florida |
| Authorized Official Name and Position | Yoel Prince (PRESIDENT) |
| Authorized Official Contact | 3057411603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valentina Medical Center Llc 1420 Embers Pkwy W Cape Coral FL 33993-7735 Ph: (305) 741-1603 | Valentina Medical Center Llc 413 Del Prado Blvd S Ste 201 Cape Coral FL 33990-5703 Ph: (305) 741-1603 |
| NPI Number | 1235844762 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 07/09/2024 |
| Medicare PECOS PAC ID | 1850764804 |
|---|---|
| Medicare Enrollment ID | O20230222002332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235844762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Yoel Prince |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164959128 PECOS PAC ID: 5193138568 Enrollment ID: I20210621000404 |
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