person
Mr. Ivan Vivanco, APRN
Pediatric Nurse Practitioner in Doral, Florida
NPI 1114418878

Ivan Vivanco is a Pediatric Nurse Practitioner based in Plantation, FL and is specialized in Pediatrics. Ivan Vivanco practices in Doral, FL and has the professional credentials of APRN. The NPI Number for Ivan Vivanco is 1114418878 and holds a License No. APRN9455497 (Florida).

The current practice location address for Ivan Vivanco is 9655 Nw 41St St, Doral, FL and can be reached out via phone at 305-436-1563 and via fax at 305-436-1564. You can also correspond with Ivan Vivanco through the mailing address at 900 S PINE ISLAND RD STE 800, PLANTATION, FL - 33324-3923 (mailing address contact number: 305-436-1563).

Location: 9655 Nw 41St St, Doral, FL, 33324-3923
person
Provider Profile Details
NPI Number
1114418878
Provider Name
Ivan Vivanco
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
9655 Nw 41St St, Doral, FL, 33324-3923
Phone Number
305-436-1563
Fax Number
305-436-1564
Provider Enumeration Date
05/29/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
104828000 05 FL
institution
Provider Business Practice Location Address Details
Address
9655 Nw 41St St
City
State
Zip
33178-2973
Phone Number
305-436-1563
Fax Number
305-436-1564
person
Provider Business Mailing Address Details
Address
900 S Pine Island Rd Ste 800
City
State
Zip
33324-3923
Phone Number
305-436-1563
Fax Number
305-436-1564
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
APRN9455497 (Florida)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.