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Primary Care Of Venice Inc
Adult Medicine Physician in Venice, Florida
NPI 1730117888

Primary Care Of Venice Inc is an Adult Medicine Physician based in Venice, FL and is specialized in Adult Medicine. Primary Care Of Venice Inc practices in Venice, FL. The NPI Number for Primary Care Of Venice Inc is 1730117888 and holds a License No. ME0028168 (Florida).

The current practice location address for Primary Care Of Venice Inc is 1211 Jacaranda Blvd, Venice, FL and can be reached out via phone at 941-492-2212 and via fax at 941-496-9307.

Location: 1211 Jacaranda Blvd, Venice, FL, 34292-4520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730117888
Provider Name
Primary Care Of Venice Inc
Credential
Provider Entity Type
Organization
Address
1211 Jacaranda Blvd, Venice, FL, 34292-4520
Phone Number
941-492-2212
Fax Number
941-496-9307
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
068196200 05 FL
institution
Provider Business Practice Location Address Details
Address
1211 Jacaranda Blvd
City
Venice
State
Florida
Zip
34292-4520
Phone Number
941-492-2212
Fax Number
941-496-9307
person
Provider Business Mailing Address Details
Address
1211 Jacaranda Blvd
City
Venice
State
Florida
Zip
34292-4520
Phone Number
941-492-2212
Fax Number
941-496-9307
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
ME0028168 (Florida)
Definition
Definition to come.
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