MEDICARE: DR. ROBERT JAY VALINS D.P.M., P.A.

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	213ES0131X	Foot Surgery Podiatrist	PO1116	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	:	1255335089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT JAY VALINS D.P.M., P.A.

Provider Business Mailing Address
First Line	:	6326 FORT KING RD
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-2531
Country	:	US
Telephone Number	:	813-788-3600
Fax Number	:	813-788-7010

Provider Business Practice Location Address
First Line	:	6326 FORT KING RD
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-2531
Country	:	US
Telephone Number	:	813-788-3600
Fax Number	:	813-788-7010

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	02/15/2011

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