Organization
VIVANT HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASANTH GOGINENI MD (PRESIDENT)
(561) 800-2601
Entity
Organization
Contact information
Practice address
660 GLADES RD STE 140, BOCA RATON, FL 33431-6466
(561) 800-4570
(561) 800-4580
Mailing address
10425 S LAGO VISTA CIR, PARKLAND, FL 33076-2970
(561) 800-2601
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
03/19/2024
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