Primary Care of Venice Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME0028168 Issued in FL

Legal business name

PRIMARY CARE OF VENICE INC

Practice address

1211 Jacaranda Blvd
Venice, FL 34292-4520

Phone

(941) 492-2212

Fax

(941) 496-9307

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Armando Navarro, M.D.

Title

President

Phone

(941) 492-2212

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1730117888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 JACARANDA BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924520",
            "telephone_number": "941-492-2212",
            "fax_number": "941-496-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 JACARANDA BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924520",
            "telephone_number": "941-492-2212",
            "fax_number": "941-496-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE OF VENICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-492-2212",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME0028168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068196200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Community Mobile Ultrasound
• Premier Foot and Ankle Specialists PA (Premier Foot and Ankle Specialists)
• Premier Senior Living of Florida, LLC (Summit at Venice)
• Jocelyn Pretell, ARNP
• Alexander Priddee
• Primary Care of Venice LLC
• Primary Urgent Care PL
• Prime Care One, LLC
• Primecare Venice LLC
• Linda P Princiotta, P.T.

• Adult Medicine Physician in Venice, FL
• Providers in Venice, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.