Individual
ANA VICIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5000 UNIVERSITY DR, CORAL GABLES, FL 33146-2008
(305) 669-3471
Mailing address
PO BOX 3093, BOCA RATON, FL 33431-0993
(305) 503-6320
(305) 503-6329
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
ME60651
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME60651
FL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
ME60651
FL
Other
Enumeration date
02/03/2006
Last updated
09/17/2007
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