Provider Demographics
NPI:1730164161
Name:VALENTINE, ROBERT GEORGE JR (MD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:GEORGE
Last Name:VALENTINE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:11350 MCCORMICK RD
Mailing Address - Street 2:EXECUTIVE PLAZA 1, STE. 501
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-7607
Mailing Address - Country:US
Mailing Address - Phone:703-914-8000
Mailing Address - Fax:352-333-9035
Practice Address - Street 1:6821 NW 11TH PL STE A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4216
Practice Address - Country:US
Practice Address - Phone:352-331-3353
Practice Address - Fax:352-333-9035
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME82864207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL018722Medicare ID - Type Unspecified
D75042Medicare UPIN