Organization
VENICE EMERGENCY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM VALLEAU (OFFICE MANAGER)
(941) 483-7449
Entity
Organization
Contact information
Practice address
1201 JACARANDA BLVD, VENICE, FL 34292-4535
(941) 486-6027
(386) 274-7801
Mailing address
PO BOX 9487, DAYTONA BEACH, FL 32120-9487
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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