Healthcare Provider Details

I. General information

NPI: 1992348759
Provider Name (Legal Business Name): VIEVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2019
Last Update Date: 12/12/2019
Certification Date: 12/12/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3661 S MIAMI AVE STE 501
MIAMI FL
33133-4200
US

IV. Provider business mailing address

3 GROVE ISLE DR APT 908
MIAMI FL
33133-4114
US

V. Phone/Fax

Practice location:
  • Phone: 305-333-8872
  • Fax: 305-432-4470
Mailing address:
  • Phone: 305-205-4242
  • Fax: 305-432-4470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JACLYN MARIE FERRO
Title or Position: OWNER
Credential: MD
Phone: 305-205-4242