Individual
FANNY VIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8000 SOUTH ORANGE AVENUE, SUITE 111, ORLANDO, FL 32809
(407) 240-7003
(407) 240-7003
Mailing address
8000 S ORANGE AVE STE 111, ORLANDO, FL 32809-6747
(407) 240-7003
(407) 240-7003
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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