Provider Demographics
NPI:1538146006
Name:VENEZIA, FRANK (RRT)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:VENEZIA
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 HAWKES BLUFF AVE
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3416
Mailing Address - Country:US
Mailing Address - Phone:954-680-9752
Mailing Address - Fax:954-680-4334
Practice Address - Street 1:6100 HAWKES BLUFF AVE
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33331-3416
Practice Address - Country:US
Practice Address - Phone:954-680-9752
Practice Address - Fax:954-680-4334
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2008-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT63242279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL885921300Medicaid