Vallo Coral Springs PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VALLO CORAL SPRINGS PLLC

Practice address

9132 Wiles Rd FL 33065
Coral Springs, FL 33067-1993

Phone

(773) 398-5423

NPI assigned

Apr 24, 2025

Organization subpart

No

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

Authorized official

Name

Manuel Cobos

Title

Coo

Phone

(773) 398-5423

Specialties & licenses 1

Addresses

Other names 1

• Pine Ridge Dental Doing business as

Locations

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1730976382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8331 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261608",
            "telephone_number": "773-398-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9132 WILES RD FL 33065",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330671993",
            "telephone_number": "773-398-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLO CORAL SPRINGS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "COBOS",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "773-398-5423"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Ridge Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Ryan Valenz, PHARMD
• Jennifer Valero
• Amanda Valiente
• Radha Vallabhaneni, M.D.
• Maliha Mohammed Valliani
• Diane Van de Mark, MD
• Olivia Van Duyne
• Katrina Ann Van Lieu, M.S. CCC-SLP
• Michelle Van Niekerk, OTR
• Rebecca Van Wart, PA

• Dental Clinic/Center in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.