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William R Vivas Dpm Pa
Foot Surgery Podiatrist in Miami, Florida
NPI 1629191127

William R Vivas Dpm Pa is a Foot Surgery Podiatrist based in Miami, FL and is specialized in Foot Surgery. William R Vivas Dpm Pa practices in Miami, FL. The NPI Number for William R Vivas Dpm Pa is 1629191127 and holds a License No. PO1733 (Florida).

The current practice location address for William R Vivas Dpm Pa is 330 Sw 27Th Ave, Miami, FL and can be reached out via phone at 305-542-5153 and via fax at 305-642-5213.

Location: 330 Sw 27Th Ave, Miami, FL, 33135-2961
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629191127
Provider Name
William R Vivas Dpm Pa
Credential
Provider Entity Type
Organization
Address
330 Sw 27Th Ave, Miami, FL, 33135-2961
Phone Number
305-542-5153
Fax Number
305-642-5213
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
041398400 05 FL
87883 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
330 Sw 27Th Ave
City
Miami
State
Florida
Zip
33135-2961
Phone Number
305-542-5153
Fax Number
305-642-5213
person
Provider Business Mailing Address Details
Address
330 Sw 27Th Ave
City
Miami
State
Florida
Zip
33135-2961
Phone Number
305-542-5153
Fax Number
305-642-5213
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
PO1733 (Florida)
Definition
Definition to come...
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