Healthcare Provider Details

I. General information

NPI: 1750346268
Provider Name (Legal Business Name): VENERANDO I BATAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 E TWIGGS ST STE 103
TAMPA FL
33602-3925
US

IV. Provider business mailing address

625 E TWIGGS ST STE 103
TAMPA FL
33602-3925
US

V. Phone/Fax

Practice location:
  • Phone: 813-228-7696
  • Fax: 813-228-0677
Mailing address:
  • Phone: 813-228-7696
  • Fax: 813-228-0677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberME0041945
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2081P0004X
TaxonomySpinal Cord Injury Medicine Physician
License NumberME0041945
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberME0041945
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License NumberME0041945
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License NumberME0041945
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: