Organization
WILLIAM R VIVAS DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R VIVAS DPM (PRESIDENT)
(305) 642-5153
Entity
Organization
Contact information
Practice address
330 SW 27TH AVE, SUITE# 408A, MIAMI, FL 33135-2961
(305) 542-5153
(305) 642-5213
Mailing address
330 SW 27TH AVE, SUITE# 408A, MIAMI, FL 33135-2961
(305) 542-5153
(305) 642-5213
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO1733
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041398400
—
FL
01
—
87883
BCBS
FL
Enumeration date
04/09/2007
Last updated
08/08/2013
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