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NPI Code Detail

MEDICARE: VIVIANA J SIERRA

MEDICARE: VIVIANA J SIERRA
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
1104100000XSocial Worker
2222Q00000XDevelopmental TherapistFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730833807
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVIANA J SIERRA
Provider Business Mailing Address
First Line : 1450 S WOODLAND BLVD STE 200A
Second Line :
City : DELAND
State : FL
Zip : 32720-7547
Country : US
Telephone Number : 386-873-3658
Fax Number :
Provider Business Practice Location Address
First Line : 1450 S WOODLAND BLVD STE 200A
Second Line :
City : DELAND
State : FL
Zip : 32720-7547
Country : US
Telephone Number : 386-873-3658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2022
Last Update Date : 05/06/2026

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1508595828 — TONIEKA SAWYER
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Directions to “ VIVIANA J SIERRA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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