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NPI Code Detail

MEDICARE: MICHAEL DEL VALLE

MEDICARE:   MICHAEL  DEL VALLE
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
1207P00000XEmergency Medicine PhysicianA187544CA
2390200000XStudent in an Organized Health Care Education/Training Program
3207P00000XEmergency Medicine Physician0068729CO
4207P00000XEmergency Medicine Physician79291AZ

General Provider Information

NPI Number : 1417454323
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL DEL VALLE
Provider Business Mailing Address
First Line : 5848 MAGNOLIA BEND BLVD
Second Line :
City : MILTON
State : FL
Zip : 32570-3511
Country : US
Telephone Number : 850-463-0474
Fax Number :
Provider Business Practice Location Address
First Line : 777 BANNOCK ST
Second Line :
City : DENVER
State : CO
Zip : 80204-4507
Country : US
Telephone Number : 303-602-3192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2018
Last Update Date : 06/01/2026

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Directions to “ MICHAEL DEL VALLE ” Practice Location

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