Individual
DR. ANNA-MARIE MALAZARTE VENERACION-YUMUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1409 KINGSLEY AVE, STE 9E, ORANGE PARK, FL 32073-4537
(904) 215-4151
(904) 215-4165
Mailing address
1118 GREEN PINE CIR, ORANGE PARK, FL 32065-2567
(904) 282-8079
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME92819
FL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME92819
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2600109465852
TAX ID #
FL
05
—
272990300
—
FL
Enumeration date
01/04/2007
Last updated
02/22/2019
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