MEDICARE: DR. JENNIFER VALENTIN D.C.

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	111N00000X	Chiropractor	CH 10881	FL

General Provider Information

NPI Number	:	1326475484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER VALENTIN D.C.

Provider Business Mailing Address
First Line	:	13000 AVALON LAKE DR
Second Line	:	SUITE 305
City	:	ORLANDO
State	:	FL
Zip	:	32828-6434
Country	:	US
Telephone Number	:	407-203-7320
Fax Number	:

Provider Business Practice Location Address
First Line	:	13000 AVALON LAKE DR
Second Line	:	SUITE 305
City	:	ORLANDO
State	:	FL
Zip	:	32828-6434
Country	:	US
Telephone Number	:	407-203-7320
Fax Number	:

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

Provider Enumeration Date	:	10/03/2013
Last Update Date	:	10/03/2013

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