Provider Demographics
NPI:1174904155
Name:VENTURA, KARIEN (MS)
Entity type:Individual
Prefix:
First Name:KARIEN
Middle Name:
Last Name:VENTURA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:KARIEN
Other - Middle Name:A
Other - Last Name:PICHARDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:2220 E IRLO BRONSON MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-5312
Mailing Address - Country:US
Mailing Address - Phone:646-538-7382
Mailing Address - Fax:
Practice Address - Street 1:2220 E IRLO BRONSON MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-5312
Practice Address - Country:US
Practice Address - Phone:646-538-7382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist