MEDICARE: DOMINICK VENTURI

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	183500000X	Pharmacist	PS67375	FL

General Provider Information

NPI Number	:	1225867872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOMINICK VENTURI

Provider Business Mailing Address
First Line	:	1708 BUCKEYE FALLS WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32824-4361
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14185 LAKE NONA BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32824-7421
Country	:	US
Telephone Number	:	407-204-2287
Fax Number	:

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

Provider Enumeration Date	:	07/31/2024
Last Update Date	:	07/31/2024

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Directions to “ DOMINICK VENTURI ” Practice Location

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