Healthcare Provider Details

I. General information

NPI: 1558295543
Provider Name (Legal Business Name): VENANET PALM BEACH, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1167 BUSHEL CREEK XING
LOXAHATCHEE FL
33470-2131
US

IV. Provider business mailing address

1167 BUSHEL CREEK XING
LOXAHATCHEE FL
33470-2131
US

V. Phone/Fax

Practice location:
  • Phone: 352-844-3577
  • Fax:
Mailing address:
  • Phone: 352-844-3577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: KSENIA ORLOVA
Title or Position: OWNER
Credential: MD
Phone: 352-844-3577