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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACARANDA FAMILY MEDICINE P A

Active Organization

Family Medicine · VENICE, FL

Registration Details

NPI Number
1174588586
Provider Type
Organization
NPI Issued
Apr 19, 2006 (20.009484713185 yrs)
Last Updated
Sep 29, 2008

Practice Information

Address
4315 TAMIAMI TRL S
VENICE, FL, 342935117
Browse FL providers · Browse ZIP 34293
Phone
9414974303
Fax
9414973107
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.