Organization
VENECIA MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDIA DEL PINO (MANAGER)
(786) 326-2667
Entity
Organization
Contact information
Practice address
5890 W 20TH AVE, HIALEAH, FL 33016-2656
(239) 202-8998
(239) 471-0454
Mailing address
6300 CORPORATE CT, FORT MYERS, FL 33919-3513
(772) 237-0712
(239) 471-0454
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/26/2020
Last updated
02/17/2022
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