Provider Demographics
NPI:1003844010
Name:VENTURINO, NICK A (DC)
Entity Type:Individual
Prefix:DR
First Name:NICK
Middle Name:A
Last Name:VENTURINO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14491 UNIVERSITY COVE PL
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-3741
Mailing Address - Country:US
Mailing Address - Phone:813-977-2383
Mailing Address - Fax:813-977-2585
Practice Address - Street 1:14491 UNIVERSITY COVE PL
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-3741
Practice Address - Country:US
Practice Address - Phone:813-977-2383
Practice Address - Fax:813-977-2585
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 8371111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020557779OtherCHOICE CARE NETWORK
FL020557779OtherFOCUS/METRA COMP
FL15047OtherALL FL PPO
FL70421OtherBCBS
FLP3663614OtherOXFORD
FL02-0557779OtherBEECHSTREET
FL9215042OtherPHCS
FL214011OtherAHP
FL020557779OtherGALAXY HEALTH NETWORK
FL1966297OtherCCN
FL1966297OtherFIRST HEALTH NETWORK
FL381606100Medicaid
FL020557779OtherHUMANA
FL629067OtherUHC
FL381606100Medicaid