Gandy, Vivian Marie

Gandy, Vivian Marie is an individual health care provider with primary practice located at 300 71St St Suite 620, Miami Beach FL 33141-3089. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Gandy, Vivian Marie can be contacted via phone (305) 866-9951.

Contact Information

Primary practice address
300 71St St Suite 620 Miami Beach FL 33141-3089
Phone: (305) 866-9951
Fax: (877) 284-8933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD044997E Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD044997E Pennsylvania

Profile Details

NPI number 1760638464
LBN Legal business name Gandy, Vivian Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2008
Last updated Apr 6th, 2010 - about 14 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 1760638464 NPPES
Pennsylvania Other P00688655 RAILROAD MEDICARE
Pennsylvania MEDICAID 001528765 RAILROAD MEDICARE

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