Provider Demographics
NPI:1386051134
Name:DELVALLE, ARNALDO EFRAIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ARNALDO
Middle Name:EFRAIN
Last Name:DELVALLE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ARNOLD
Other - Middle Name:EFRAIN
Other - Last Name:DELVALLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4855 VERONA CIR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-7152
Mailing Address - Country:US
Mailing Address - Phone:321-704-4700
Mailing Address - Fax:
Practice Address - Street 1:4855 VERONA CIR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-7152
Practice Address - Country:US
Practice Address - Phone:321-704-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPSI28482183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPSI28482OtherFL PHARMACIST INTERN