Organization
PROFESSIONAL INDEX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANELA VENICA (MANAGER MEMBER)
(305) 890-4999
Entity
Organization
Contact information
Practice address
2820 NE 214TH ST STE 912, AVENTURA, FL 33180-1270
(305) 890-4999
Mailing address
2820 NE 214TH ST STE 912, AVENTURA, FL 33180-1270
(305) 890-4999
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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