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Organization

WILLIAM R VIVAS DPM PA

Active
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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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