Individual
VIVIANA DE ASSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9271
Mailing address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8600
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
OS13724
FL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
OS13724
FL
Other
Enumeration date
04/03/2014
Last updated
06/10/2024
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