Provider Demographics
NPI:1992965214
Name:VENZARA, FRANK XAVIER III (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:XAVIER
Last Name:VENZARA
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:280 N SYKES CREEK PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32953-3491
Mailing Address - Country:US
Mailing Address - Phone:321-735-8800
Mailing Address - Fax:321-735-8898
Practice Address - Street 1:280 N SYKES CREEK PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32953-3491
Practice Address - Country:US
Practice Address - Phone:321-735-8800
Practice Address - Fax:321-735-8898
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME118993207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL012592400Medicaid