Organization
JUPITER FOOT AND ANKLE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIRGINIO VENA DPM (OWNER PRESIDENT)
(561) 741-4900
Entity
Organization
Contact information
Practice address
651 W INDIANTOWN ROAD, SUITE K, JUPITER, FL 33458
(561) 741-4900
(561) 741-4918
Mailing address
651 W INDIANTOWN ROAD, SUITE K, JUPITER, FL 33458
(561) 741-4900
(561) 741-4918
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3402606-00
—
FL
Enumeration date
08/19/2006
Last updated
10/27/2010
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