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:
Health care specialties
Specialty | Code | License # | 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 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427210889 | NPPES |
New York | MEDICAID | 03850373 |
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