Individual provider Active NPI

Eden'S Valentin, MD

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1003872458
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME76436 Issued in FL
Practice address
609 Virginia Dr
Orlando, FL 32803-1844
Phone
(727) 824-0780
Fax
(321) 800-3491
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME76436 FL
Internal Medicine Physician 207R00000X ME76436 FL Primary

Addresses

Primary practice location

609 Virginia Dr
Orlando, FL 32803-1844

Mailing address

5130 Sunforest Dr Ste 300
Tampa, FL 33634-6327
Phone (727) 824-0780

Other identifiers 1

IdentifierTypeStateIssuer
275186100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070228000464 FL Practitioner - Internal Medicine 1456453034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

1345 W Bay Dr
202 Optum Largo
Largo, FL 33770-2276
Phone (727) 559-0895

Hospital & facility affiliations

  • Central Florida Lake Monroe Hospital Hospital, Sanford, FL, CCN 100161
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc Internal Medicine Current Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Jun 8, 2024 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Jun 8, 2024 Accepting new patients
Optumcare Florida, LLC Hospitalist CurrentSince Feb 15, 2016 Accepting new patients
Primary Care Associates of Florida LLC CurrentSince Dec 10, 2007 Accepting new patients
Optumcare Florida LLC Internal Medicine CurrentSince Feb 15, 2016 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

609 Virginia Dr
Orlando, FL 32803
Phone (407) 841-7730

1718 Lexington Green Ln
Sanford, FL 32771
Phone (407) 268-9661

1403 Medical Plaza Dr
Ste 107
Sanford, FL 32771
Phone (407) 321-8801

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1003872458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 SUNFOREST DR STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336346327",
            "telephone_number": "727-824-0780",
            "fax_number": "321-800-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 VIRGINIA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031844",
            "telephone_number": "727-824-0780",
            "fax_number": "321-800-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTIN",
        "first_name": "EDEN'S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME76436",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME76436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275186100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.