Individual
MIDALYS VENERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18712 NW 48TH AVE, MIAMI GARDENS, FL 33055-2528
(786) 522-7203
Mailing address
18712 NW 48TH AVE, MIAMI GARDENS, FL 33055-2528
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0108368
FL
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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