Healthcare Provider Details

I. General information

NPI: 1366634883
Provider Name (Legal Business Name): VENEIZA SCHWANKE ARNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3910 S PINE AVE STE C
OCALA FL
34480-4931
US

IV. Provider business mailing address

3910 S PINE AVE STE C
OCALA FL
34480-4931
US

V. Phone/Fax

Practice location:
  • Phone: 352-817-8469
  • Fax: 352-369-0168
Mailing address:
  • Phone: 352-817-8469
  • Fax: 352-369-0168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP9242707
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: