Organization
CSV MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILFREDO MARCELINO VENTURA M.D. (PRESIDENT)
(305) 643-5120
Entity
Organization
Contact information
Practice address
711 NW 23RD AVE, SUITE 304, MIAMI, FL 33125-3298
(305) 643-5120
(305) 643-5120
Mailing address
711 NW 23RD AVE, SUITE 304, MIAMI, FL 33125-3298
(305) 643-5120
(305) 643-5120
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME22003
STATE LICENSE
FL
Enumeration date
04/18/2007
Last updated
08/22/2020
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