William Rodrigo Vivas DPM

NPI 1053467993 - Podiatrist - 213ES0131X

NPI Details
NPI 1053467993
Gender Male
Enumeration Date 01/25/2007
Last Updated 06/07/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
4930 E LAKE MARY BLVD
SANFORD FL, 32771-5003, US
Phone (407) 322-8645
Fax (407) 330-5074
Business Location
4930 E LAKE MARY BLVD
SANFORD FL, 32771-5003, US
Phone (407) 322-8645
Fax (305) 642-5213
Toxanomy
Taxonomy Code 213ES0131X
License State Florida
License Number PO 1733
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According to our database, Dr. William Rodrigo Vivas DPM NPI is 1053467993, taxonomy code is 213ES0131X and license number is PO 1733, license state is located at Florida. William Rodrigo Vivas DPM physically located at 4930 E Lake Mary Blvd, Sanford FL, 32771-5003. NPI Number William Rodrigo Vivas DPM has the Individual type.

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1053467993 NPI number is provided on an as is basis without warranty of any kind. 1053467993 is maintained by the National Plan & Provider Enumeration System. The contents of William Rodrigo Vivas DPM are for informational purposes only.