Individual
VIVEK KAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1651 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7564
(772) 398-1800
(772) 398-1815
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-2847
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME99553
FL
207RP1001X
Pulmonary Disease Physician
ME99553
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME99553
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000575400
—
FL
01
—
16738
FLORIDA BLUE
FL
Enumeration date
09/20/2006
Last updated
02/16/2024
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