Jacaranda Family Medicine P A in Venice - Family Medicine
Jacaranda Family Medicine P A - NPI 1174588586
Jacaranda Family Medicine P A is a Family Medicine in Venice, Florida. Jacaranda Family Medicine P A practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jacaranda Family Medicine P A is 1174588586. The last update date is 2008-09-29.
Jacaranda Family Medicine P A's current location address is 4315 Tamiami Trl S, Venice, Florida. You can contact this provider via phone number 9414974303 and fax number 9414973107. The mailing address for Jacaranda Family Medicine P A is 4315 Tamiami Trl S, Venice, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacaranda Family Medicine P A |
|---|---|
| Address | 4315 Tamiami Trl S, Venice, Florida |
| Phone Number | 9414974303 |
| Fax Number | 9414973107 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sollott A. Stephen |
| Credentials | D.O. |
| Telephone Number | 9414974303 |
NPI Number Detail
| NPI Number | 1174588586 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2008-09-29 |
Provider Mailing Address Detail
| Address | 4315 Tamiami Trl S |
|---|---|
| City | Venice |
| State | Florida (FL) |
| Post Code | 342935117 |
| Phone Number | 9414974303 |
| Fax Number | 9414973107 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 254050900 | FL | -- | |
| DN3383 | FL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jacaranda Family Medicine P A by the Centers for Medicare & Medicaid Services?
The Jacaranda Family Medicine P A has been assigned the NPI (National Provider Identifier) 1174588586 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jacaranda Family Medicine P A is located?
The Jacaranda Family Medicine P A is situated at the following address: 4315 Tamiami Trl S, Venice, FL, 342935117.
What is the Jacaranda Family Medicine P A's area of specialization and corresponding taxonomy classification?
The Jacaranda Family Medicine P A's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When did the Jacaranda Family Medicine P A receive its 1174588586?
The Jacaranda Family Medicine P A was issued its 1174588586 on 2006-04-19, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Jacaranda Family Medicine P A most recently updated or revised?
The details related to Jacaranda Family Medicine P A, including its address, specialty, and other relevant information, were last updated or revised on 2008-09-29.