Ventura Health Services, Llc

Nurse Practitioner · Doral, FL

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At a glance

4810 Nw 79Th Ave Apt 107, Doral, FL 33166-5418

NPPES record updated Apr 12, 2023. Public records can lag behind changes at a practice.

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Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.

Practice location

4810 Nw 79Th Ave Apt 107
Doral, FL 33166-5418

Professional details: NPI, taxonomy & registry record

NPI1629763008

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Registry details

Primary taxonomy: Nurse Practitioner
Taxonomy code: 363L00000X
Enumeration date: Apr 10, 2023
Record updated: Apr 12, 2023

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Nurse Practitioner

363L00000X · Primary

Family Nurse Practitioner

363LF0000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4810 Nw 79Th Ave Apt 107
Doral, FL 33166-5418

Phone: (786) 626-4081

Mailing address

4810 NW 79TH AVE APT 107

DORAL, FL 331665418

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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