Individual
DR. THERESA DAWN HILLEY VENSEL
Active
Individual
DR. THERESA DAWN HILLEY VENSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME85870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276057600
—
FL
01
—
54959
BCBS
FL
01
—
P00352704
RR MEDICARE
FL
01
—
P00352711
RR MEDICARE
FL
Enumeration date
07/27/2006
Last updated
01/10/2024
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