Organization
VENICE EMERGENCY MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY VALLEAU (OFFICE MANAGER)
(941) 483-7449
Entity
Organization
Contact information
Practice address
540 THE RIALTO, VENICE, FL 34285-2900
(941) 483-7449
(941) 483-7236
Mailing address
540 THE RIALTO, VENICE, FL 34285-2900
(941) 483-7449
(941) 483-7236
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379166100
—
FL
05
—
379166101
—
FL
Enumeration date
08/03/2006
Last updated
04/30/2015
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