Organization
VIVA WELLNESS & INJURY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN MEJIAS CFO (OWNER)
(407) 657-7979
Entity
Organization
Contact information
Practice address
701 E OAK ST, SUITE A, KISSIMMEE, FL 34744-4575
(407) 350-5075
(407) 350-5089
Mailing address
5703 RED BUG LAKE RD, # 310, WINTER SPRINGS, FL 32708-4969
(407) 350-5075
(407) 350-5089
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME104722
FL
Other
Enumeration date
08/23/2016
Last updated
10/10/2019
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