Organization Name: | FRANKIE E. VALLE, P.A. |
NPI Number: | 1003299645 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANKIE ESTEBAN VALLE (PRESIDENT/CEO) |
Mailing Address: | 9225 Bay Plaza Blvd Suite 418 Tampa |
State: | FL US |
Postal Code: | 336194466 |
Phone Number: | 8137011234 |
Fax Number: | 8136304670 |
NPI Enumeration Date: | 07/01/2015 |
NPI Last Update Date: | 12/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 2945501557301 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |