MEDICARE: PRIMARY CARE OF VENICE INC

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	207QA0505X	Adult Medicine Physician	ME0028168	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730117888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMARY CARE OF VENICE INC

Provider Business Mailing Address
First Line	:	1211 JACARANDA BLVD
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34292-4520
Country	:	US
Telephone Number	:	941-492-2212
Fax Number	:	941-496-9307

Provider Business Practice Location Address
First Line	:	1211 JACARANDA BLVD
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34292-4520
Country	:	US
Telephone Number	:	941-492-2212
Fax Number	:	941-496-9307

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARMANDO NAVARRO
Credential	:	M.D.
Telephone Number	:	941-492-2212

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	03/24/2014

Similar Medicare Providers

1437154788 — ROBERT V DADDARIO OD
Practice Location Address:

1219 JACARANDA BLVD
VENICE, FL
34292-4520

Practice Phone: 941-493-0311
Practice Fax: 941-492-4655

1558366898 — SCOTT P DURRETT MD
Practice Location Address:

1219 JACARANDA BLVD
VENICE, FL
34292-4520

Practice Phone: 941-493-0311
Practice Fax: 941-492-4655

1295733178 — DR. RAUL HOLGUIN M.D.
Practice Location Address:

1211 JACARANDA BLVD
VENICE, FL
34292-4520

Practice Phone: 914-492-2212
Practice Fax: 941-496-9307

1043219702 — DR. ARMANDO NAVARRO M.D.
Practice Location Address:

1211 JACARANDA BLVD
VENICE, FL
34292-4520

Practice Phone: 941-492-2212
Practice Fax: 941-496-9307

1902808983 — DR. MARY MARGARET LILKO DO
Practice Location Address:

1221 JACARANDA BLVD
VENICE, FL
34292-4520

Practice Phone: 941-766-5069
Practice Fax: 941-486-6419

1407847866 — JENNIFER MOWER OT
Practice Location Address:

1223 JACARANDA BLVD
VENICE, FL
34292-4520

Practice Phone: 941-486-6420
Practice Fax:

Directions to “PRIMARY CARE OF VENICE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.