Individual
DR. EMILY VIVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11183 S ORANGE BLOSSOM TRL, UNIT 204 D, ORLANDO, FL 32837-9402
(407) 850-0103
Mailing address
11183 S ORANGE BLOSSOM TRL, SUITE 204D, ORLANDO, FL 32837-9402
(407) 850-0103
(407) 850-9901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME84737
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265342700
—
FL
Enumeration date
06/17/2006
Last updated
08/22/2017
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