Whalio Doctors

NPI 1154765667

Golta Rasouli, MD

Practitioner Phlebology Physician Venice, FL

Practice location

Address
395 Commercial CT STE C, Venice, FL 34292-1651
Phone
(941) 529-0070
Fax
(941) 529-0539
Mailing address
2389 E Venice Ave Unit 510, Venice, FL 34292-2465

Registered specialties (3)

Phlebology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence ME145594 (FL)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence ME145594 (FL)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence ME145594 (FL)

Registry record

NPI
1154765667
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Apr 2013
Record last updated
3 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.