Provider Demographics
NPI:1790844827
Name:VENABLE, JAMES MADISON (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MADISON
Last Name:VENABLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 741031
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-1031
Mailing Address - Country:US
Mailing Address - Phone:239-403-9569
Mailing Address - Fax:239-261-1714
Practice Address - Street 1:606 9TH ST N
Practice Address - Street 2:SUITE 100
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-8138
Practice Address - Country:US
Practice Address - Phone:239-403-9569
Practice Address - Fax:239-261-1714
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2010-09-07
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Provider Licenses
StateLicense IDTaxonomies
FLME68395207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL205591848OtherTAX ID
FL27154OtherBCBS OF FL
FL205591848OtherTAX ID
FLG08645Medicare UPIN