Individual
JUSTIN ALEXANDER VENTURELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3933 BIBB LN, ORLANDO, FL 32817-1633
(321) 750-6721
Mailing address
3933 BIBB LN, ORLANDO, FL 32817-1633
(321) 750-6721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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