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NPI Code Detail

MEDICARE: VENANC MEDICAL CENTER CORP

MEDICARE: VENANC MEDICAL CENTER CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/CenterFL

General Provider Information

NPI Number : 1013021633
Entity Type Code : Organization
Provider Name (Legal Business Name) : VENANC MEDICAL CENTER CORP
Provider Business Mailing Address
First Line : 342 E 9TH ST
Second Line : SUITE 202
City : HIALEAH
State : FL
Zip : 33010-4216
Country : US
Telephone Number : 786-319-0698
Fax Number : 305-805-8566
Provider Business Practice Location Address
First Line : 342 E 9TH ST
Second Line : SUITE 202
City : HIALEAH
State : FL
Zip : 33010-4216
Country : US
Telephone Number : 786-319-0698
Fax Number : 305-805-8566
Authorized Official
Title or Position : PRESIDENT
Name : MR. ECNAR REINOSO
Credential :
Telephone Number : 786-319-0698
Provider Enumeration Date : 08/19/2006
Last Update Date : 08/22/2020

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Directions to “VENANC MEDICAL CENTER CORP ” Practice Location

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