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NPI Code Detail

MEDICARE: VIVIENNE V. TAI, MD, PA

MEDICARE: VIVIENNE V. TAI, MD, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME49631FL

General Provider Information

NPI Number : 1023303468
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIVIENNE V. TAI, MD, PA
Provider Business Mailing Address
First Line : 1711 HAMMONDVILLE RD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33069-1989
Country : US
Telephone Number : 954-972-6450
Fax Number : 954-972-7028
Provider Business Practice Location Address
First Line : 1711 HAMMONDVILLE RD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33069-1989
Country : US
Telephone Number : 954-972-6450
Fax Number : 954-972-7028
Authorized Official
Title or Position : PRESIDENT
Name : VIVIENNE TAI
Credential :
Telephone Number : 954-972-6450
Provider Enumeration Date : 06/14/2011
Last Update Date : 06/14/2011

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