Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Golta Rasouli, MD

Individual provider Dermatology Physician · NPI 1154765667

Dr. Golta Rasouli, MD is an Internal Medicine in Venice, Florida. Qualified in 2013, 13 years ago. Practices with Rejuva Dermatology and Vein Center, PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

395 Commercial Ct Ste C
Venice, FL 34292-1651
Phone: (941) 529-0070
Fax: (941) 529-0539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebology Physician (primary) Taxonomy 202K00000X · Licence ME145594 (FL)
Dermatology Physician Taxonomy 207N00000X · Licence ME145594 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME145594 (FL)

Record details

NPI number1154765667
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2013
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Rejuva Dermatology And Vein Center, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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