Provider Demographics
NPI:1528320116
Name:VENTURA, ANNERIS
Entity type:Individual
Prefix:
First Name:ANNERIS
Middle Name:
Last Name:VENTURA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10113 GRANITE BAY DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-5650
Mailing Address - Country:US
Mailing Address - Phone:407-413-3933
Mailing Address - Fax:
Practice Address - Street 1:5458 HOFFNER AVE STE 304
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-2518
Practice Address - Country:US
Practice Address - Phone:407-341-7755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management