Jacaranda Family Medicine P A
Jacaranda Family Medicine P A is a Family Medicine Physician in Venice, Florida. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
4315 Tamiami Trl SVenice, FL 34293-5117
Phone: (941) 497-4303
Fax: (941) 497-3107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1174588586 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Sollott — Owner · (941) 497-4303 |
| NPI enumerated | April 19, 2006 |
| Last updated in NPPES | September 29, 2008 |
| Mailing address | 4315 Tamiami Trl S, Venice, FL 34293-5117 |
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