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Individual

MRS. VIVILYN DUNN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
411 W 30TH ST, RIVIERA BEACH, FL 33404-3711
(561) 229-7000
Mailing address
411 W 30TH ST, RIVIERA BEACH, FL 33404-3711

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
6906789
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6906739
ADULT FAMILY CARE HOME
FL
Enumeration date
01/27/2015
Last updated
03/05/2025
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