William R Vivas Dpm Pa | |
330 Sw 27th Ave, Suite# 408a, Miami, FL 33135-2961 | |
(305) 542-5153 | |
(305) 642-5213 |
Full Name | William R Vivas Dpm Pa |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot Surgery |
Location | 330 Sw 27th Ave, Miami, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629191127 | NPI | - | NPPES |
041398400 | Medicaid | FL | |
87883 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0131X | Podiatrist - Foot Surgery | PO1733 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
William R Vivas Dpm Pa 330 Sw 27th Ave, Suite# 408a, Miami, FL 33135-2961 Ph: (305) 542-5153 | William R Vivas Dpm Pa 330 Sw 27th Ave, Suite# 408a, Miami, FL 33135-2961 Ph: (305) 542-5153 |
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