Active NPI
Emilio del Valle, M.D., P.a.
- Pediatrics Physician
- Fort Myers, FL
National Provider Identifier
1518088517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME55848
- Legal business name
- EMILIO DEL VALLE, M.D., P.A.
- Practice address
- 6300 Corporate CT Ste 103
Fort Myers, FL 33919-3513 - Phone
- (239) 277-7666
- Fax
- (239) 277-1064
- NPI assigned
- Apr 3, 2007
- Last updated
- Apr 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emilio Del Valle, M.D.
- Title
- President
- Phone
- (239) 277-7666
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME55848 | FL | Primary |
Addresses
Primary practice location
6300 Corporate CT Ste 103
Fort Myers, FL 33919-3513
Mailing address
1860 Boy Scout Dr Ste 201
Fort Myers, FL 33907-2119
Phone (239) 215-1180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267778400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Fort Myers, FL
- NPI 1477551497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524096000000",
"number": "1518088517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 BOY SCOUT DR STE 201",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339072119",
"telephone_number": "239-215-1180",
"fax_number": "239-215-1179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 CORPORATE CT STE 103",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339193513",
"telephone_number": "239-277-7666",
"fax_number": "239-277-1064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMILIO DEL VALLE, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2018-04-19",
"status": "A",
"authorized_official_last_name": "DEL VALLE",
"authorized_official_first_name": "EMILIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-277-7666",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME55848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "267778400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
- Embryo Donation International
- Emeritus Corporation (Brookdale Fort Myers Cypress Lake)
- Michael Leonard Emery, PA-C
- Emet Behavior Therapy Corp.
- Primerose Emile
- Emily C Ptaszek PSYD PA
- Elli Emmanuel, M.A. C.C.C. /S.L.P
- Emmi Ring LLC (Ring Therapy Services)
- Empathy Wellness Center Inc
- Empathy Wellness Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.