Healthcare Provider Details

I. General information

NPI: 1093473217
Provider Name (Legal Business Name): DIONES M VALENTIN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2021
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5517 S WILLIAMSON BLVD
PORT ORANGE FL
32128-8319
US

IV. Provider business mailing address

5517 S WILLIAMSON BLVD
PORT ORANGE FL
32128-8319
US

V. Phone/Fax

Practice location:
  • Phone: 386-444-7700
  • Fax:
Mailing address:
  • Phone: 386-444-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR010647
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License NumberCHIR010647
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH15274
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: