# VENTURE MEDICAL OF FLORIDA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bayshore Urgent Care Services, Ellenton Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366957482
- **Authorized official:** ALEXANDER N PETREAS PA (MEMBER)
- **Authorized official phone:** (941) 400-7051

## Contact information

- **Practice address:** 430 8TH AVE W, PALMETTO, FL 34221-5120
- **Practice address phone:** (941) 544-0366
- **Practice address fax:** (941) 212-6059
- **Mailing address:** 7206 16TH AVE NW, BRADENTON, FL 34209-1151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | — | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 12/12/2017
- **Last updated:** 08/23/2023