Venetian Wellness Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Locations

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": []
}

• Kaity Vazquez
• Frank Vecchio
• Velasquez-Pierce Family Dentistry
• Ximena Velasquez-Pierce, DDS
• Venetian Hospitalist Services
• Venice Al Opco LLC
• Venice Anesthesia Associates LLC
• Venice Anesthesia Services LLC
• Venice Apothecaries LLC
• Venice Apothecaries LLC

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

• 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.

Verify at the official NPI Registry.