Sifontes, Viviam
Sifontes, Viviam is an individual health care provider with primary practice located at 4001 W Dr Martin Luther King Jr Blvd , Tampa FL 33614-7011. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Health Educator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Sifontes, Viviam can be contacted via phone (813) 876-1605.Contact Information
Primary practice address
4001 W Dr Martin Luther King Jr Blvd
Tampa FL 33614-7011
Phone: (813) 876-1605
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Other Service Providers / Health Educator | 174H00000X |
Profile Details
| NPI number | 1396800421 |
|---|---|
| LBN Legal business name | Sifontes, Viviam |
| Credentials | ITDS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Apr 21st, 2017 - 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 | 1396800421 | NPPES |
| Florida | MEDICAID | 811698900 |
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