Allen, Vivian Joann

Allen, Vivian Joann is an sole proprietor health care provider with primary practice located at 4130 Salisbury Road Suite 2000, Jacksonville FL 32216-8033. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Allen, Vivian Joann can be contacted via phone (904) 296-2857.

Contact Information

Primary practice address
4130 Salisbury Road Suite 2000 Jacksonville FL 32216-8033
Phone: (904) 296-2857
Fax: (904) 296-1648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0043872 Florida

Profile Details

NPI number 1659484889
LBN Legal business name Allen, Vivian Joann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Jan 3rd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659484889 NPPES
Florida MEDICAID 0407461-00

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