Provider Demographics
NPI:1194919720
Name:VENTURINI, ANDREA ARSENIA (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:ARSENIA
Last Name:VENTURINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 RED SAIL WAY
Mailing Address - Street 2:
Mailing Address - City:SATELLITE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-3719
Mailing Address - Country:US
Mailing Address - Phone:321-213-4773
Mailing Address - Fax:
Practice Address - Street 1:417 RED SAIL WAY
Practice Address - Street 2:
Practice Address - City:SATELLITE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-3719
Practice Address - Country:US
Practice Address - Phone:321-213-4773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLE117240207R00000X
FLME117240207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009555000Medicaid
FLP01250544OtherMEDICARE RAILROAD
FLHN308ZMedicare PIN