Organization Active NPI

Valour Medical Inc.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1720656127
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VALOUR MEDICAL INC.
Practice address
2005 Pan Am Cir Ste 120
Tampa, FL 33607-2529
Phone
(727) 386-6495
NPI assigned
Jun 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Dr. Eddie Eugene Oliver, MD
Title
Pres.
Phone
(813) 495-6434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2005 Pan Am Cir Ste 120
Tampa, FL 33607-2529

Mailing address

2104 Belcara CT
West Palm Beach, FL 33411-1476
Phone (813) 495-6434

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1720656127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 BELCARA CT",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334111476",
            "telephone_number": "813-495-6434",
            "fax_number": "561-557-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PAN AM CIR STE 120",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072529",
            "telephone_number": "727-386-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALOUR MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "813-495-6434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.