Individual
VENANCIO S TEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4810 N DAVIS HWY, SUITE 2, PENSACOLA, FL 32503-2341
(850) 477-8109
(850) 478-2412
Mailing address
4810 N DAVIS HWY, SUITE 2, PENSACOLA, FL 32503-2341
(850) 477-8109
(850) 478-2412
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME92527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009942012
—
AL
01
—
059192018
BLUE SHIELD
AL
05
—
277883100
—
FL
01
—
93596
BLUE SHIELD
FL
Enumeration date
02/14/2007
Last updated
11/08/2007
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