Organization Active NPI

Primary Care of Venice LLC

  • Internal Medicine Physician
  • Venice, FL
National Provider Identifier
1588445753
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMARY CARE OF VENICE LLC
Practice address
1370 E Venice Ave Ste 102B
Venice, FL 34285-9083
Phone
(077) 248-9604
NPI assigned
Oct 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Zaid Ali
Title
Ceo
Phone
(407) 724-8960

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

1370 E Venice Ave Ste 102B
Venice, FL 34285-9083

Mailing address

1370 E Venice Ave Ste 102B
Venice, FL 34285-9083
Phone (727) 300-0063

Other practice location 1

836 Sunset Lake Blvd
Venice, FL 34292-7554
Phone (941) 412-0026

Other practice location 2

4015 US 301 N Ste 104
Ellenton, FL 34222-2407
Phone (941) 412-0026

Other practice location 3

5221 Clark Rd Ste 102
Sarasota, FL 34233-3201
Phone (941) 412-0026

Other practice location 4

3018 53rd Ave E
Bradenton, FL 34203-4331
Phone (941) 412-0026

National Provider Directory

National Provider Directory

Locations

4015 US Highway 301 N
Ste 104
Ellenton, FL 34222

5221 Clark Rd
Ste 102
Sarasota, FL 34233

1370 E Venice Ave
Ste 102B
Venice, FL 34285

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1588445753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 E VENICE AVE STE 102B",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859083",
            "telephone_number": "727-300-0063",
            "fax_number": "727-954-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 E VENICE AVE STE 102B",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859083",
            "telephone_number": "077-248-9604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 Sunset Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342927554",
            "country_code": "US",
            "telephone_number": "941-412-0026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4015 US 301 N Ste 104",
            "address_purpose": "LOCATION",
            "city": "Ellenton",
            "state": "FL",
            "postal_code": "342222407",
            "country_code": "US",
            "telephone_number": "941-412-0026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5221 Clark Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342333201",
            "country_code": "US",
            "telephone_number": "941-412-0026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3018 53rd Ave E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342034331",
            "country_code": "US",
            "telephone_number": "941-412-0026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMARY CARE OF VENICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ZAID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-724-8960"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.