person
Dr. Vivian Virella, MD
General Practice Physician in Lakeland, Florida
NPI 1538157862

Vivian Virella is a General Practice Physician based in Lakeland, FL. Vivian Virella practices in Lakeland, FL and has the professional credentials of MD. The NPI Number for Vivian Virella is 1538157862 and holds a License No. 15253 (Florida).

The current practice location address for Vivian Virella is 5245 Us Highway 98 N, Lakeland, FL and can be reached out via phone at 863-644-3585 and via fax at 863-644-3171.

Location: 5245 Us Highway 98 N, Lakeland, FL, 33813-2523
person
Provider Profile Details
NPI Number
1538157862
Provider Name
Vivian Virella
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5245 Us Highway 98 N, Lakeland, FL, 33813-2523
Phone Number
863-644-3585
Fax Number
863-644-3171
Provider Enumeration Date
10/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15253 01 PR LIC.
institution
Provider Business Practice Location Address Details
Address
5245 Us Highway 98 N
City
State
Zip
33809-0516
Phone Number
863-644-3585
Fax Number
863-644-3171
person
Provider Business Mailing Address Details
Address
5245 Us Highway 98 N
City
State
Zip
33809-0516
Phone Number
863-644-3585
Fax Number
863-644-3171
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
15253 ()
Definition
Definition to come...
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