Individual
SAM JOHN VENUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-7283
Mailing address
2501 N ORANGE AVE STE 401, ORLANDO, FL 32804-4644
(407) 303-7283
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57011044
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
51306
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME108194
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002614400
—
FL
01
—
ME108194
MEDICAL LICENSE
FL
Enumeration date
05/23/2007
Last updated
09/15/2021
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