Organization
VIVA HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA PORTILLA (CEO)
(786) 547-2382
Entity
Organization
Contact information
Practice address
8300 W FLAGLER ST, SUITE 140, MIAMI, FL 33144-6000
(786) 547-2382
Mailing address
8300 W FLAGLER ST, SUITE 140, MIAMI, FL 33144-6000
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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