Provider Demographics
NPI:1831269752
Name:VALENTE, LOUIS KEVIN (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:KEVIN
Last Name:VALENTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:19621 COCHRAN BLVD
Mailing Address - Street 2:UNIT #1
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33948
Mailing Address - Country:US
Mailing Address - Phone:941-627-9095
Mailing Address - Fax:941-629-6993
Practice Address - Street 1:19621 COCHRAN BLVD
Practice Address - Street 2:UNIT #1
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948
Practice Address - Country:US
Practice Address - Phone:941-627-9095
Practice Address - Fax:941-629-6993
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 49879174400000X
FLME49879207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No174400000XOther Service ProvidersSpecialist
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL02518OtherBCBS
FL1831269752OtherLABOR AND INDUSTRIES
FL050064923OtherRR MEDICARE
FL050064923OtherRR MEDICARE
FLD50544Medicare UPIN