Venezia,LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME103560 Issued in FL

Legal business name

VENEZIA,LLC

Practice address

1350 Sleepy Hill Rd
Lakeland, FL 33810-3800

Phone

(863) 858-4402

NPI assigned

Jun 26, 2013

Organization subpart

No

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

Authorized official

Name

Nickolas Soumelidis, MD

Title

Family Medicine

Phone

(301) 401-8051

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1730529488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 VILLAGE CENTER DR",
            "address_2": "APT 203",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SLEEPY HILL RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338103800",
            "telephone_number": "863-858-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENEZIA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SOUMELIDIS",
        "authorized_official_first_name": "NICKOLAS",
        "authorized_official_title_or_position": "FAMILY MEDICINE",
        "authorized_official_telephone_number": "301-401-8051",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME103560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabiola Velez Miranda
• Kendra Yari Velez Rodriguez, MD
• Ana Lymaries Velez, ARNP
• Ashley Velez
• Namitha Vellian
• Marni Venter, MD
• Luis Alberto Vera, M.D.
• Amy Lin Verble, ARNP FNP-C
• Michael Verdul, ARNP
• Karol A Vergara

• Adult Medicine Physician in Lakeland, FL
• Providers in Lakeland, 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 7, 2023; 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.