1003844010 NPI number — DR. NICK A VENTURINO D.C.

Table of content: DR. NICK A VENTURINO D.C. (NPI 1003844010)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003844010 NPI number — DR. NICK A VENTURINO D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VENTURINO
Provider First Name:
NICK
Provider Middle Name:
A
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003844010
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/23/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14491 UNIVERSITY COVE PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33613-3741
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-977-2383
Provider Business Mailing Address Fax Number:
813-977-2585

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14491 UNIVERSITY COVE PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33613-3741
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-977-2383
Provider Business Practice Location Address Fax Number:
813-977-2585
Provider Enumeration Date:
06/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  CH 8371 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 020557779 . This is a "CHOICE CARE NETWORK" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 020557779 . This is a "FOCUS/METRA COMP" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 15047 . This is a "ALL FL PPO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 70421 . This is a "BCBS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: P3663614 . This is a "OXFORD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 02-0557779 . This is a "BEECHSTREET" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 9215042 . This is a "PHCS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 214011 . This is a "AHP" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 020557779 . This is a "GALAXY HEALTH NETWORK" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1966297 . This is a "CCN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1966297 . This is a "FIRST HEALTH NETWORK" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 381606100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 020557779 . This is a "HUMANA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 629067 . This is a "UHC" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 112039700 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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