| Ms Venis Tiarra Wilder, MD | |
|
180 Sw 84th Ave, Plantation, FL 33324-2731 | |
| (954) 945-3510 | |
| Not Available |
| Full Name | Ms Venis Tiarra Wilder |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 180 Sw 84th Ave, Plantation, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396062287 | NPI | - | NPPES |
| 03716332 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 263649 (New York) | Secondary |
| 207Q00000X | Family Medicine | 139734 (Florida) | Primary |
| Entity Name | Guidewell Sanitas I, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396124046 PECOS PAC ID: 9537447107 Enrollment ID: O20161102001073 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Venis Tiarra Wilder, MD 8400 Nw 33rd St Ste 201, Doral, FL 33122-1937 Ph: (786) 408-8502 | Ms Venis Tiarra Wilder, MD 180 Sw 84th Ave, Plantation, FL 33324-2731 Ph: (954) 945-3510 |
Benjamin Klein, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 S Pine Island Rd Ste 204, Plantation, FL 33324 Phone: 954-888-3900 Fax: 954-888-3938 | |
Stacey J Oddman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8100 Sw 10th St Fl 3, Plantation, FL 33324 Phone: 305-689-3627 | |
Evelyn Nieves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8251 W Broward Blvd Ste 102, Plantation, FL 33324 Phone: 954-581-8272 Fax: 954-581-8382 | |
Dr. Jarrod Marc Frydman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Pine Island Rd, Suite #302, Plantation, FL 33324 Phone: 954-581-8272 Fax: 954-581-8382 | |
Dr. Ken Berger, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10575 Blue Palm St, Plantation, FL 33324 Phone: 416-356-9919 | |
Ira Strickman, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10519 Nw 10th St, Plantation, FL 33322 Phone: 954-662-2440 | |
Jetzabell Nortey Mayola, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 Nw 82nd Ave Ste 305, Plantation, FL 33324 Phone: 954-533-8353 |