Provider Demographics
NPI:1982688701
Name:VENZOR, OSCAR JR (DO)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:
Last Name:VENZOR
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8870 N HIMES AVE
Mailing Address - Street 2:STE 405
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1627
Mailing Address - Country:US
Mailing Address - Phone:813-931-2720
Mailing Address - Fax:813-915-0326
Practice Address - Street 1:8870 N HIMES AVE
Practice Address - Street 2:STE 405
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1627
Practice Address - Country:US
Practice Address - Phone:813-931-2720
Practice Address - Fax:813-915-0326
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL054635207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00125309OtherRAILROAD MEDICARE
E32270Medicare UPIN
FL82584Medicare ID - Type Unspecified