| Iris Vivas Md Pa | |
|
1835 E Hallandale Beach Blvd Suite 134 Hallandale Beach FL 33009-4619 | |
| (305) 559-7996 | |
| Not Available |
| Full Name | Iris Vivas Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1835 E Hallandale Beach Blvd, Hallandale Beach, Florida |
| Authorized Official Name and Position | Iris Vivas (OWNER/PRESIDENT) |
| Authorized Official Contact | 3055597996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iris Vivas Md Pa 1835 E Hallandale Beach Blvd Suite 134 Hallandale Beach FL 33009-4619 Ph: () - | Iris Vivas Md Pa 1835 E Hallandale Beach Blvd Suite 134 Hallandale Beach FL 33009-4619 Ph: (305) 559-7996 |
| NPI Number | 1144688029 |
|---|---|
| Provider Enumeration Date | 02/05/2016 |
| Last Update Date | 02/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144688029 | NPI | - | NPPES |
| ME107439 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME107439 (Florida) | Primary |
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