MEDICARE: NIDERLANDE VALCIN

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	251E00000X	Home Health Agency	PN5265870	FL
2	164W00000X	Licensed Practical Nurse	PN5265870	FL

General Provider Information

NPI Number	:	1396698981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIDERLANDE VALCIN

Provider Business Mailing Address
First Line	:	PO BOX 695547
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33269-5547
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 695547
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33269-5547
Country	:	US
Telephone Number	:	786-590-8582
Fax Number	:

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

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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Directions to “ NIDERLANDE VALCIN ” Practice Location

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