Healthcare Provider Details

I. General information

NPI: 1710551429
Provider Name (Legal Business Name): VIERA MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2021
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7640 N WICKHAM RD STE 116
MELBOURNE FL
32940-8147
US

IV. Provider business mailing address

7640 N WICKHAM RD STE 116
MELBOURNE FL
32940-8147
US

V. Phone/Fax

Practice location:
  • Phone: 321-259-3400
  • Fax: 321-253-3119
Mailing address:
  • Phone: 321-259-3400
  • Fax: 321-253-3119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ANKUR SHAH
Title or Position: DIRECTOR
Credential:
Phone: 321-259-3400