VENECIA LASALLE JEAN


Address: 6304 Nw 14th Ave, Miami, FL 33147-8008
Phone: 9083681156

VENECIA LASALLE JEAN (NPI# 1083136808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083136808
Entity Type Individual
Full Name VENECIA LASALLE JEAN
Other Name MRS. VENECIA LASALLE JEAN
Practice Address 6304 Nw 14th Ave
Miami
FL 33147-8008
Mailing Address 435 Ne 171st Ter
North Miami Beach
FL 33162-3914
Practice Telephone 9083681156
Mailing Telephone 9083681156
Enumeration Date 2017-07-13
Last Update Date 2017-07-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist FL Other Service Providers

Office Location

Street Address 6304 NW 14TH AVE
City MIAMI
State FL
Zip Code 33147-8008

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1174031199 Jidlyne Remy Cherelus Nurse Practitioner 2520 Nw 75th St, Miami, FL 33147 2018-01-11
1356862627 Mailanys Garcia Behavior Technician 3050 Nw 106th St, Miami, FL 33147 2017-06-27
1598290835 Maylin Prieto Iglesias Behavior Technician 9031 Nw 36th Ave, Miami, FL 33147 2017-04-24
1033655899 Librada Lemus Behavior Technician 10510 Nw 36 Ct, Miami, FL 33147 2017-01-17
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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1073063210 Care for Children Pediatric Services, M.d.,p.a. Specialist 3228 Nw 7th St, Miami, FL 33125-4102 2016-10-12
1366995573 Play To Learn Therapy, Inc. Specialist 10841 Sw 128th St, Miami, FL 33176-5442 2016-07-25
1699123323 Leydi Reyes Figueredo Specialist 100 Sw 110th Ave Apt 132, Miami, FL 33174-1255 2016-06-03
1134574288 Javier Perez Mena I Specialist 10105 Nw 9th Street Cir Apt 203, Miami, FL 33172-3290 2016-04-26
1528423571 Andres Tamayo Md Specialist 7357 W Flagler St, Miami, FL 33144-2557 2015-12-17
1134591001 Keen Radiology, LLC Specialist 3500 Munroe Dr, Miami, FL 33133-5932 2015-10-30
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Competitor

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City MIAMI
Zip Code 33147

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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