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Organization

VENTRE MEDICAL ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER PAUL VENTRE MD (CEO)
(954) 561-6222
Entity
Organization

Contact information

Practice address
1400 E OAKLAND PARK BLVD STE 210, OAKLAND PARK, FL 33334-4400
(954) 561-6222
(954) 990-7650
Mailing address
7261 SHERIDAN ST STE 340, HOLLYWOOD, FL 33024-2726
(954) 561-6222
(954) 990-7650

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103TC0700X
Clinical Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
1041C0700X
Clinical Social Worker
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
FL
2084F0202X
Forensic Psychiatry Physician
FL
2084P0800X
Psychiatry Physician
Primary
FL
2084P0802X
Addiction Psychiatry Physician
FL
2084P0804X
Child & Adolescent Psychiatry Physician
FL
2084P0805X
Geriatric Psychiatry Physician
FL
363A00000X
Physician Assistant
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003931200
FL
05
003931201
FL
05
003931206
FL
05
003931207
FL
05
003931208
FL
05
003931209
FL
05
003931210
FL
05
003931211
FL
Enumeration date
01/20/2011
Last updated
01/08/2026
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