Provider Demographics
NPI:1902889959
Name:VALENTE, MARIA J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:J
Last Name:VALENTE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7015 A C SKINNER PKWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-6932
Mailing Address - Country:US
Mailing Address - Phone:904-363-2113
Mailing Address - Fax:904-363-2606
Practice Address - Street 1:7015 A C SKINNER PKWY
Practice Address - Street 2:BLDG 100
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-6932
Practice Address - Country:US
Practice Address - Phone:904-516-3737
Practice Address - Fax:904-516-3738
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2016-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME79666207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267841100Medicaid
FL304930OtherAVMED
FLP00374156Medicaid
FL71417OtherBCBS
GA780221254AMedicaid
GA780221254AMedicaid
FLH94180Medicare UPIN
FLP00374156Medicaid
FL71417XMedicare PIN