MEDICARE: JENNIFER VALENTIN PA-C, DMS

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	363A00000X	Physician Assistant	PA9107458	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	:	1720267149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER VALENTIN PA-C, DMS

Provider Business Mailing Address
First Line	:	626 NEPTUNE DR
Second Line	:
City	:	GROVELAND
State	:	FL
Zip	:	34736-9687
Country	:	US
Telephone Number	:	321-238-8048
Fax Number	:	352-995-0320

Provider Business Practice Location Address
First Line	:	748 LAKE AVE
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-2243
Country	:	US
Telephone Number	:	321-238-8048
Fax Number	:	352-995-0320

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

Provider Enumeration Date	:	11/01/2007
Last Update Date	:	06/15/2026

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