MEDICARE: FELIPE ANTONIO DEL VALLE MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME50226	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922141852
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FELIPE ANTONIO DEL VALLE MD PA

Provider Business Mailing Address
First Line	:	2350 SW 84TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1160
Country	:	US
Telephone Number	:	786-263-0527
Fax Number	:	786-263-0529

Provider Business Practice Location Address
First Line	:	2350 SW 84TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1160
Country	:	US
Telephone Number	:	786-263-0527
Fax Number	:	786-263-0529

Authorized Official
Title or Position	:	OWNER
Name	:	DR. FELIPE ANTONIO DEL VALLE
Credential	:	M.D.
Telephone Number	:	786-263-0527

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	03/02/2022

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