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Organization
VENRA MEDICAL ASSOCIATES LLC
Active
Organization
VENRA MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNA TRIPURANENI M.D. (OWNER)
(561) 795-3330
Entity
Organization
Contact information
Practice address
1157 S STATE ROAD 7, WELLINGTON, FL 33414-6101
(561) 795-3330
(561) 795-1030
Mailing address
1157 S STATE ROAD 7, WELLINGTON, FL 33414-6101
(561) 795-3330
(561) 795-1030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME64204
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001261400
—
FL
01
—
24444
BCBS
FL
01
—
AI435
MEDICARE PTAN
FL
Enumeration date
04/04/2007
Last updated
06/21/2013
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