Bahman Venus,M.D, P.A.

LBN: Bahman Venus,M.D, P.A.
Bahman Venus,M.D, P.A. is an health care organization with primary practice located at 3625 University Blvd S , Jacksonville FL 32216-4207. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as the primary health care specialty. Bahman Venus,M.D, P.A. can be contacted via phone (904) 399-6111, or through Krieger, Bruce P via phone (904) 399-6097.

Contact Information

Primary practice address
3625 University Blvd S Jacksonville FL 32216-4207
Phone: (904) 399-6111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Krieger, Bruce P Doctor of Medicine (MD)
Phone: (904) 399-6097

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X

Profile Details

NPI number 1386721785
LBN Legal business name Bahman Venus,M.D, P.A.
DBA Doing business as
Authorized official Krieger, Bruce P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Feb 22nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386721785 NPPES
Florida MEDICAID 062000900

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