| Dr Julio G Ventura, MD | |
|
1658 St Vincents Way Ste 310, Middleburg, FL 32068-8459 | |
| (904) 602-4450 | |
| (904) 602-4449 |
| Full Name | Dr Julio G Ventura |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 17 Years |
| Location | 1658 St Vincents Way Ste 310, Middleburg, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164659546 | NPI | - | NPPES |
| 016457500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME114633 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
| Christus Santa Rosa Medical Center | San antonio, TX | Hospital |
| Christus Santa Rosa Hospital-san Marcos | San marcos, TX | Hospital |
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Christus Jasper Memorial Hospital | Jasper, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virtual Neurology Texas Pllc | 3779910047 | 85 |
| Virtual Neurology Llc | 9830425321 | 102 |
| Summit Healthcare Association | 3779568647 | 54 |
| Mcleod Loris Seacoast Hospital | 9133394398 | 122 |
| Entity Name | St Vincent's Ambulatory Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
| Entity Name | Dchd Health Care Professionals Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346563897 PECOS PAC ID: 6800910365 Enrollment ID: O20100907000065 |
| Entity Name | Virtual Neurology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760940167 PECOS PAC ID: 9830425321 Enrollment ID: O20190722001227 |
| Entity Name | Virtual Neurology Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467092114 PECOS PAC ID: 3779910047 Enrollment ID: O20240617001623 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Julio G Ventura, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: () - | Dr Julio G Ventura, MD 1658 St Vincents Way Ste 310, Middleburg, FL 32068-8459 Ph: (904) 602-4450 |
Ms. Mohini B Shukla, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5572 | |
Alexander Fariborzian, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 |