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Organization
VIVENTUM HEALTH
Active
Organization
VIVENTUM HEALTH
Active
Parent organization
INDEPENDENT LIVING SYSTEMS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDEPENDENT LIVING SYSTEMS, LLC
Authorized official
MR. HORACIO SOBERON JR. (GENERAL MANAGER)
(305) 262-1292
Entity
Organization
Contact information
Practice address
4601 NW 77TH AVE, MIAMI, FL 33166-6449
(305) 262-1292
(305) 675-7825
Mailing address
4601 NW 77TH AVE, MIAMI, FL 33166-6449
(305) 262-1292
(305) 675-7825
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
12/09/2015
Last updated
08/26/2020
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