Organization
VENTRE MEDICAL ASSOCIATES LLC
Active
Parent organization
VENTRE MEDICAL ASSOCIATES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VENTRE MEDICAL ASSOCIATES LLC
Authorized official
PETER PAUL VENTRE MD (OWNER)
(954) 561-6222
Entity
Organization
Contact information
Practice address
7200 CAMINO REAL STE 201, BOCA RATON, FL 33433-5511
(561) 674-0885
(561) 674-0856
Mailing address
7261 SHERIDAN ST STE 340, HOLLYWOOD, FL 33024-2726
(954) 561-6222
(954) 990-7650
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003931204
—
FL
Enumeration date
11/04/2021
Last updated
04/19/2024
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