Individual
DR. ROY PASCUAL VENZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
938 SAXON BLVD STE 101-C, ORANGE CITY, FL 32763-8305
(386) 774-5485
(386) 775-0761
Mailing address
695 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2321
(386) 258-8722
(386) 258-8659
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
37455
IA
207RC0000X
Cardiovascular Disease Physician
ME120286
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME120286
FL
207UN0901X
Nuclear Cardiology Physician
ME120286
FL
2086S0129X
Vascular Surgery Physician
ME120286
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14749000
—
FL
01
—
BCBS
BCBS 14ZS2
FL
01
—
P00709135
RR MEDICARE AT STL
IA
Enumeration date
08/29/2007
Last updated
03/17/2018
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