MEDICARE: VALENTINA MEDICAL CENTER LLC

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
2	261Q00000X	Clinic/Center

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	:	1235844762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALENTINA MEDICAL CENTER LLC

Provider Business Mailing Address
First Line	:	413 DEL PRADO BLVD S STE 201
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-5703
Country	:	US
Telephone Number	:	239-361-2046
Fax Number	:	888-358-9907

Provider Business Practice Location Address
First Line	:	413 DEL PRADO BLVD S STE 201
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-5703
Country	:	US
Telephone Number	:	305-741-1603
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	YOEL PRINCE
Credential	:	MD
Telephone Number	:	239-361-2046

Provider Enumeration Date	:	01/19/2023
Last Update Date	:	03/31/2026

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Directions to “VALENTINA MEDICAL CENTER LLC ” Practice Location

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