Healthcare Provider Details

I. General information

NPI: 1265629620
Provider Name (Legal Business Name): VALERIE DALPHINE DONNELSON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 IROQUOIS DR
ISLAMORADA FL
33036-4225
US

IV. Provider business mailing address

153 IROQUOIS DR
ISLAMORADA FL
33036-4225
US

V. Phone/Fax

Practice location:
  • Phone: 573-286-3533
  • Fax:
Mailing address:
  • Phone: 573-286-3533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9116541
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: