Individual
OMAR VENEREO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 SW 100TH AVE, MIAMI, FL 33174-1862
(786) 316-5174
Mailing address
411 SW 100TH AVE, MIAMI, FL 33174-1862
(786) 316-5174
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
151741
FL
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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