Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | PO1116 | FL |
NPI | 1255335089 |
---|---|
Provider Name | Dr. Robert Jay Valins |
First Address | Zephyrhills, FL 33542-2531 |
Second Address | Zephyrhills, FL 33542-2531 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 15/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
041304600 | (05) | FL |
T55462 | (02) | FL |