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Provider Information for 1558395574

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. VANESSA VEVE M.D

Gender: FEMALE

Individual NPI: 1558395574

Calendar   Last Updated:  2020-03-06
  Certification Date:  2020-03-06

Details

Name Value
NPI 1558395574
Enumeration Date 2006-07-10
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 270 MAIN ST N STE 300
STILLWATER, MN 55082-6788
United States

Phone: 651-342-1039 | Fax: 651-342-1428
View Map External Link
Primary Practice Address 10150 HIGHLAND MANOR DR STE 240
TAMPA, FL 33610-9750
United States

Phone: 813-259-1013 | Fax:
View Map External Link
Secondary Practice Address 409 BAYSHORE BLVD
TAMPA, FL 33606-2707
United States

Phone: 813-844-5470 | Fax:
View Map External Link

10150 HIGHLAND MANOR DR STE 240
TAMPA, FL 33610-9750
United States

Phone: 813-259-1013 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other STATE OF FLORIDA/MEDICAL LICENSE FL ME101151
Other MEDICAL LICENSE NUMBER NY 231684-1
Other MEDICARE PTAN BA568Z
MEDICAID FL 009502800
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207RG0300X - Internal Medicine Geriatric Medicine FL ME101151
No 207RG0300X - Internal Medicine Geriatric Medicine NY 231684-1