Individual
VIVIANA LORDA SEIJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 355-5569
(954) 355-5568
Mailing address
3141 W MCNAB RD, POMPANO BEACH, FL 33069-4806
(954) 977-6977
(954) 977-6922
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME134295
FL
390200000X
Student in an Organized Health Care Education/Training Program
34885829
TX
Other
Enumeration date
09/22/2011
Last updated
07/16/2020
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