Provider Demographics
NPI:1376795401
Name:VENETIAN HOSPITALIST SERVICES
Entity Type:Organization
Organization Name:VENETIAN HOSPITALIST SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-289-6864
Mailing Address - Street 1:535 US HWY 41 BYPASS N
Mailing Address - Street 2:STE 239
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-0000
Mailing Address - Country:US
Mailing Address - Phone:239-851-8147
Mailing Address - Fax:
Practice Address - Street 1:535 US HWY 41 BYPASS N
Practice Address - Street 2:STE 239
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-0000
Practice Address - Country:US
Practice Address - Phone:239-851-8147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87906207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty