Healthcare Provider Details

I. General information

NPI: 1013811942
Provider Name (Legal Business Name): VIERA HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8725 N WICKHAM RD STE 103
MELBOURNE FL
32940-2240
US

IV. Provider business mailing address

PO BOX 749200
ATLANTA GA
30374-9200
US

V. Phone/Fax

Practice location:
  • Phone: 321-268-4200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateNULL

VIII. Authorized Official

Name: KRISTEN PULIO
Title or Position: EVP CFO
Credential:
Phone: 321-434-5606