| Venture Gastroenterology Llc | |
|
16855 Ne 2nd Ave Suite 300 North Miami Beach FL 33162-1744 | |
| (305) 654-4488 | |
| (305) 654-8157 |
| Full Name | Venture Gastroenterology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16855 Ne 2nd Ave, North Miami Beach, Florida |
| Authorized Official Name and Position | Andrew E Nullman (PRESIDENT) |
| Authorized Official Contact | 3055344404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Venture Gastroenterology Llc 2523 Regatta Ave Miami Beach FL 33140-4234 Ph: (305) 654-4488 | Venture Gastroenterology Llc 16855 Ne 2nd Ave Suite 300 North Miami Beach FL 33162-1744 Ph: (305) 654-4488 |
| NPI Number | 1578810743 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 11/08/2021 |
| Medicare PECOS PAC ID | 0345493672 |
|---|---|
| Medicare Enrollment ID | O20130116000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578810743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Andrew E Nullman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912939208 PECOS PAC ID: 8224921325 Enrollment ID: I20040203000963 |
| Provider Name | Marwan M Iskandarani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255386470 PECOS PAC ID: 7719060433 Enrollment ID: I20080218000623 |
| Provider Name | Gordon G Souaid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740234988 PECOS PAC ID: 1658434188 Enrollment ID: I20110811000408 |
| Provider Name | Jesus A Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144915299 PECOS PAC ID: 0941654784 Enrollment ID: I20230927001395 |
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