Individual
MARISSA IVETTE VENERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(720) 425-1837
Mailing address
9676 SWEETLEAF ST, ORLANDO, FL 32827-6804
(720) 425-1837
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PR634
FL
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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