| Venezia,llc | |
|
1350 Sleepy Hill Rd Lakeland FL 33810-3800 | |
| (863) 858-4402 | |
| Not Available |
| Full Name | Venezia,llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 1350 Sleepy Hill Rd, Lakeland, Florida |
| Authorized Official Name and Position | Nickolas Soumelidis (FAMILY MEDICINE) |
| Authorized Official Contact | 3014018051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Venezia,llc 1625 Village Center Dr Apt 203 Lakeland FL 33803-2868 Ph: () - | Venezia,llc 1350 Sleepy Hill Rd Lakeland FL 33810-3800 Ph: (863) 858-4402 |
| NPI Number | 1730529488 |
|---|---|
| Provider Enumeration Date | 06/26/2013 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730529488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME103560 (Florida) | Primary |
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