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Vivian Bilasano Md Llc
Primary Care Clinic/Center in Miramar, Florida
NPI 1639559750

Vivian Bilasano Md Llc is a Primary Care Clinic/Center based in Miramar, FL and is specialized in Primary Care. Vivian Bilasano Md Llc practices in Miramar, FL. The NPI Number for Vivian Bilasano Md Llc is 1639559750 and holds a License No. ME 77619 (Florida).

The current practice location address for Vivian Bilasano Md Llc is 1951 Sw 172Nd Ave, Miramar, FL and can be reached out via phone at 954-320-7999 and via fax at 954-320-7601.

Location: 1951 Sw 172Nd Ave, Miramar, FL, 33029-5593
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639559750
Provider Name
Vivian Bilasano Md Llc
Credential
Provider Entity Type
Organization
Address
1951 Sw 172Nd Ave, Miramar, FL, 33029-5593
Phone Number
954-320-7999
Fax Number
954-320-7601
Provider Enumeration Date
06/03/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
257505100 05 FL
1821002825 01 NPI
1316140262 01 FL NPI
001237900 05 FL
institution
Provider Business Practice Location Address Details
Address
1951 Sw 172Nd Ave
City
Miramar
State
Florida
Zip
33029-5593
Phone Number
954-320-7999
Fax Number
954-320-7601
person
Provider Business Mailing Address Details
Address
1951 Sw 172Nd Ave
City
Miramar
State
Florida
Zip
33029-5593
Phone Number
954-320-7999
Fax Number
954-320-7601
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
ME 77619 (Florida)
Definition
Definition to come...
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