Healthcare Provider Details

I. General information

NPI: 1669117735
Provider Name (Legal Business Name): AVIV FRAIMAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AVIV FRAIMAN DO

II. Dates (important events)

Enumeration Date: 05/03/2022
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 HOVEY RD
PENSACOLA FL
32508-1044
US

IV. Provider business mailing address

220 HOVEY RD
PENSACOLA FL
32508-1044
US

V. Phone/Fax

Practice location:
  • Phone: 850-452-9484
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0102208114
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: