Healthcare Provider Details

I. General information

NPI: 1821876012
Provider Name (Legal Business Name): VIVIENNE PIAZZA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VIVIENNE PAOLETTI

II. Dates (important events)

Enumeration Date: 09/19/2023
Last Update Date: 09/19/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 N STATE ROAD 7
MARGATE FL
33063-5727
US

IV. Provider business mailing address

3752 TERRAPIN LN APT 2217
CORAL SPRINGS FL
33067-3130
US

V. Phone/Fax

Practice location:
  • Phone: 954-974-0400
  • Fax:
Mailing address:
  • Phone: 954-732-9857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: