Individual
MRS. VIVIAN JOANN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4130 SALISBURY ROAD, SUITE 2000, JACKSONVILLE, FL 32216-8033
(904) 296-2857
(904) 296-1648
Mailing address
4130 SALISBURY ROAD, SUITE 2000, JACKSONVILLE, FL 32216-8033
(904) 296-2857
(904) 296-1648
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0043872
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0407461-00
—
FL
Enumeration date
08/15/2006
Last updated
01/03/2017
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