Individual
DR. VENKATA R. MONINGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207-8205
(904) 202-3860
(904) 202-3846
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22413
WV
207R00000X
Internal Medicine Physician
ME152213
FL
208M00000X
Hospitalist Physician
22413
WV
208M00000X
Hospitalist Physician
Primary
ME152213
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116857800
—
FL
01
—
OO769
MCR
FL
Enumeration date
07/25/2006
Last updated
08/02/2024
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