Provider Demographics
NPI:1427932557
Name:VALENTINE, MARCELL (NP-BC)
Entity type:Individual
Prefix:MR
First Name:MARCELL
Middle Name:
Last Name:VALENTINE
Suffix:
Gender:M
Credentials:NP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 CAVOUR CT
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-6370
Mailing Address - Country:US
Mailing Address - Phone:908-752-2708
Mailing Address - Fax:
Practice Address - Street 1:2727 W DR MLK BLVD STE 590
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6000
Practice Address - Country:US
Practice Address - Phone:813-534-6269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11041333363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health