Active NPI
Venetian Wellness Clinic Inc
- Internal Medicine Physician
- Venice, FL
National Provider Identifier
1760141055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- VENETIAN WELLNESS CLINIC INC
- Practice address
- 1101 Tamiami TRL S Ste 108
Venice, FL 34285-4133 - Phone
- (941) 488-2332
- NPI assigned
- Dec 14, 2021
- Last updated
- Jan 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Miller, DO
- Title
- President
- Phone
- (605) 920-0508
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1101 Tamiami TRL S Ste 108
Venice, FL 34285-4133
Mailing address
529 Shetland Cir
Nokomis, FL 34275-1628
Phone (605) 920-0260
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Venice, FL
- NPI 1912970542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642032000000",
"number": "1760141055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 SHETLAND CIR",
"city": "NOKOMIS",
"state": "FL",
"postal_code": "342751628",
"telephone_number": "605-920-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 TAMIAMI TRL S STE 108",
"city": "VENICE",
"state": "FL",
"postal_code": "342854133",
"telephone_number": "941-488-2332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VENETIAN WELLNESS CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-14",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "605-920-0508",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"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 Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.