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NPI Code Detail

MEDICARE: KEMLY VALMYR NP

MEDICARE: KEMLY VALMYR NP
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
1363LF0000XFamily Nurse Practitioner11009011FL

General Provider Information

NPI Number : 1457958407
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEMLY VALMYR NP
Provider Business Mailing Address
First Line : 450 N PARK RD STE 606
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-6936
Country : US
Telephone Number : 954-505-0784
Fax Number :
Provider Business Practice Location Address
First Line : 3325 HOLLYWOOD BLVD STE 204A
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-6926
Country : US
Telephone Number : 954-505-0784
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2020
Last Update Date : 02/25/2025

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