Fongue Fongue, Vivien S

Fongue Fongue, Vivien S is an individual health care provider with primary practice located at 6200 Sw 72Nd St Suite 602, South Miami FL 33143-4828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Fongue Fongue, Vivien S can be contacted via phone (786) 662-0600.

Contact Information

Primary practice address
6200 Sw 72Nd St Suite 602 South Miami FL 33143-4828
Phone: (786) 662-0600
Fax: (786) 533-9419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 272692 New York

Profile Details

NPI number 1427210889
LBN Legal business name Fongue Fongue, Vivien S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2008
Last updated Oct 28th, 2016 - about 8 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 1427210889 NPPES
New York MEDICAID 03850373

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