| Primary Care Of Venice Inc | |
|
1211 Jacaranda Blvd Venice FL 34292-4520 | |
| (941) 492-2212 | |
| (941) 496-9307 |
| Full Name | Primary Care Of Venice Inc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 1211 Jacaranda Blvd, Venice, Florida |
| Authorized Official Name and Position | Armando Navarro (PRESIDENT) |
| Authorized Official Contact | 9414922212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Of Venice Inc 1211 Jacaranda Blvd Venice FL 34292-4520 Ph: (941) 492-2212 | Primary Care Of Venice Inc 1211 Jacaranda Blvd Venice FL 34292-4520 Ph: (941) 492-2212 |
| NPI Number | 1730117888 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 03/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730117888 | NPI | - | NPPES |
| 068196200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME0028168 (Florida) | Primary |
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