=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902086192
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANCOISE M VENERONI MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/06/2007
-----------------------------------------------------
Last Update Date | 11/10/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17901 NW 5TH ST
-----------------------------------------------------
City | PEMBROKE PINES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33029-2810
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-447-1994
-----------------------------------------------------
Fax | 954-447-1766
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17901 NW 5TH ST
-----------------------------------------------------
City | PEMBROKE PINES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33029-2810
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-447-1994
-----------------------------------------------------
Fax | 954-447-1766
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | 246454
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | ME102548
-----------------------------------------------------
License Number State |
-----------------------------------------------------