MEDICARE: SONNY VALOORAN JOSEPH MD

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	2084P0800X	Psychiatry Physician	ME57663	FL

General Provider Information

NPI Number	:	1982709812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONNY VALOORAN JOSEPH MD

Provider Business Mailing Address
First Line	:	9430 TURKEY LAKE ROAD
Second Line	:	204
City	:	ORLANDO
State	:	FL
Zip	:	32819-8015
Country	:	US
Telephone Number	:	407-354-5290
Fax Number	:	407-370-3411

Provider Business Practice Location Address
First Line	:	9430 TURKEY LAKE ROAD
Second Line	:	204
City	:	ORLANDO
State	:	FL
Zip	:	32819-8015
Country	:	US
Telephone Number	:	407-354-5290
Fax Number	:	407-370-3411

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	07/09/2009

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