EUGENE RAPHAEL VALENTINE M.D. NPI 1376561159

NPI Information

NPI: 1376561159
Provider Name: EUGENE RAPHAEL VALENTINE, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
235 CARMEL DR
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 862-3141
Get Directions

Eugene Raphael Valentine, M.D. is a child and adolescent psychiatry psychiatry neurology in Fort Walton Beach, FL. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Eugene Raphael Valentine, M.D. NPI is 1376561159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

235 CARMEL DR
FORT WALTON BEACH, FL
ZIP 32547-957
Phone: (850) 862-3141
Fax: (850) 862-7732

The enumeration date for this NPI number is 7/18/2006 and was last updated on 1/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	ME12756	FLORIDA	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	ME12756	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	46079Z	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
2	46079	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
3	D54936	MEDICARE UPIN
4	052428000	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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