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NPI Code Detail

MEDICARE: DR. EMILY VIVES M.D.

MEDICARE:  DR. EMILY  VIVES  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME84737FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346285293
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY VIVES M.D.
Provider Business Mailing Address
First Line : 11183 S ORANGE BLOSSOM TRL
Second Line : SUITE 204D
City : ORLANDO
State : FL
Zip : 32837-9402
Country : US
Telephone Number : 407-850-0103
Fax Number : 407-850-9901
Provider Business Practice Location Address
First Line : 11183 S ORANGE BLOSSOM TRL
Second Line : UNIT 204 D
City : ORLANDO
State : FL
Zip : 32837-9402
Country : US
Telephone Number : 407-850-0103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 08/22/2017

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Directions to “ DR. EMILY VIVES M.D.” Practice Location

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