MEDICARE: TESSA VENTE

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
1	235Z00000X	Speech-Language Pathologist	SA13790	FL

General Provider Information

NPI Number	:	1194126482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TESSA VENTE

Provider Business Mailing Address
First Line	:	3102 W EL PRADO BLVD UNIT 3
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-8964
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3102 W EL PRADO BLVD UNIT 3
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-8964
Country	:	US
Telephone Number	:	813-468-5836
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2014
Last Update Date	:	03/02/2026

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Directions to “ TESSA VENTE ” Practice Location

Language	Start Address	Practice Location

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