# VENECIA MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073147260
- **Authorized official:** MRS. CLAUDIA DEL PINO (MANAGER)
- **Authorized official phone:** (786) 326-2667

## Contact information

- **Practice address:** 5890 W 20TH AVE, HIALEAH, FL 33016-2656
- **Practice address phone:** (239) 202-8998
- **Practice address fax:** (239) 471-0454
- **Mailing address:** 6300 CORPORATE CT, FORT MYERS, FL 33919-3513
- **Mailing address phone:** (772) 237-0712
- **Mailing address fax:** (239) 471-0454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 02/26/2020
- **Last updated:** 02/17/2022