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Organization

VENICE RETINA, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANITA R SHANE MD (PRESIDENT)
(941) 202-1900
Entity
Organization

Contact information

Practice address
871 VENETIA BAY BLVD STE 115, VENICE, FL 34285-8047
(941) 202-1900
(941) 786-3358
Mailing address
871 VENETIA BAY BLVD STE 115, VENICE, FL 34285-8049
(941) 202-1900
(941) 786-3358

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
06/20/2019
Last updated
04/17/2020
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