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Contact Information

VENTRE MEDICAL ASSOCIATES LLC
7369 SHERIDAN ST STE 101
HOLLYWOOD, FL33024-2776
 Phone: 954-561-6222
 Fax: 954-990-7650
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Medical

363AM0700X 97 Physician Assistant
 

Mental Health

101YM0800X
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Professional

101YP2500X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for VENTRE MEDICAL ASSOCIATES LLC · (Female)

NPI # 1063127132
Status Active
Credentials
Entity Individual
Enumeration date 01/23/2023
Last updated 04/19/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 003931206
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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