Vivid Medical, Inc

NPI 1891174132 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1891174132
Enumeration Date 05/20/2015
Last Updated 05/20/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ANTON ANTON
Position CEO
Phone (305) 707-4930
Fax
Practice Location
351 NW 42ND AVE
SUITE 303
MIAMI FL, 33126-5683, US
Phone (305) 707-4930
Fax
Business Location
351 NW 42ND AVE
SUITE 303
MIAMI FL, 33126-5683, US
Phone (404) 907-9976
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Florida
License Number OS12123
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According to our database, Vivid Medical, Inc NPI is 1891174132, taxonomy code is 2084P0800X and license number is OS12123, license state is located at Florida. Vivid Medical, Inc physically located at 351 Nw 42nd Ave, Miami FL, 33126-5683. NPI Number 1033115704 has the healthcare provider type.

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1891174132 NPI number is provided on an as is basis without warranty of any kind. 1891174132 is maintained by the National Plan & Provider Enumeration System. The contents of Vivid Medical, Inc are for informational purposes only.