Mary Jane Venzon (NPI# 1821489204, PAC ID# 4789901992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1821489204 |
| PAC ID by PECOS | 4789901992 |
| Professional Enrollment ID | I20151130001078 |
| Full Name | Mary Jane Venzon |
| Organization Legal Name | METCARE OF FLORIDA |
| Address |
3641 S Clyde Morris Blvd Suite 100 Port Orange FL 32129-2357 |
| Phone Number | 3866754410 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739265141 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100045 | FLORIDA HOSPITAL DELAND |
| Address | Phone | Organization |
|---|---|---|
| 3641 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2357 | 3866754410 | METCARE OF FLORIDA |
| 3641 S Clyde Morris Blvd, Port Orange, FL 32129-2357 | 3866754410 | METCARE OF FLORIDA |
| Organization Legal Name | METCARE OF FLORIDA |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley A Kast | Internal Medicine | Metcare of Florida | 840 Us Hwy 1 400, North Palm Beach, FL 33408-3833 |
| Mary K Collins | Nurse Practitioner | Metcare of Florida | 420 S Nova Rd, Suite 4 and 5, Ormond Beach, FL 32174-0411 |
| Mercedes Garrido | Family Practice | Metcare of Florida | 21 Hospital Dr, Palm Coast, FL 32164-2455 |
| Ruben D Sierra | Hematology/oncology | Metcare of Florida | 420 S Nova Rd, Ormond Beach, FL 32174-0411 |
| Ann M Gaffka | Nurse Practitioner | Metcare of Florida | 420 S Nova Rd, Ormond Beach, FL 32174-0411 |
| Corrinna Julian Oakley-lisle | Physician Assistant | Metcare of Florida | 420 S Nova Rd, Suite 4 and 5, Ormond Beach, FL 32174-0411 |
| Yana Gofman | Internal Medicine | Metcare of Florida | 840 Us Hwy 1 400, North Palm Beach, FL 33408-3833 |
| Gerald Leichman | Family Practice | Metcare of Florida | 840 Us Hwy 1 400, North Palm Beach, FL 33408-3833 |
| Street Address |
3641 S CLYDE MORRIS BLVD SUITE 100 |
| City | PORT ORANGE |
| State | FL |
| Zip | 32129-2357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Qing J Ge | Ophthalmology | 3641 S Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2357 | |
| Kristi Lafreniere | Nurse Practitioner | Metcare of Florida Inc | 3641 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2357 |
| Ivette Hernandez | General Practice | Metcare of Florida Inc | 3641 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2357 |
| Gerald E Farmer | Family Practice | Metcare of Florida Inc | 3641 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2357 |
| Ashley C Royce | Optometry | 3641 S Clyde Morris Blvd, Port Orange, FL 32129-2357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vrushak N Deshpande | Gastroenterology | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Michel C Samson | Plastic and Reconstructive Surgery | 3635 S Clyde Morris Blvd, Suite 400, Port Orange, FL 32129-2349 | |
| Katie Weisz | Physician Assistant | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Ketul R Patel | Gastroenterology | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Sunil P Pasricha | Gastroenterology | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Vicki L Aunspaugh | Occupational Therapy | Daytona Beach Hand Clinic, Inc | 3635 S Clyde Morris Blvd, Suite 300, Port Orange, FL 32129-2349 |
| Julie T Bonamo | Occupational Therapy | Daytona Beach Hand Clinic, Inc | 3635 S Clyde Morris Blvd, Suite 300, Port Orange, FL 32129-2349 |
| Dorothy W Porter | Physician Assistant | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Clayton T Saxour | Certified Registered Nurse Anesthetist (crna) | Amsurg Port Orange Anesthesia LLC | 3635 Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2351 |
| Anita V Lee | Certified Registered Nurse Anesthetist (crna) | Amsurg Port Orange Anesthesia LLC | 3635 Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2351 |
| Find all physicians in zip 32129 | |||
| City | PORT ORANGE |
| Zip Code | 32129 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORT ORANGE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary Jane Venzon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.