Virella, Vivian
Virella, Vivian is an sole proprietor health care provider with primary practice located at 5245 Us Highway 98 N , Lakeland FL 33809-0516. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Virella, Vivian can be contacted via phone (863) 644-3585.Contact Information
Primary practice address
5245 Us Highway 98 N
Lakeland FL 33809-0516
Phone: (863) 644-3585
Fax: (863) 644-3171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 15253 | Puerto Rico |
Profile Details
| NPI number | 1538157862 |
|---|---|
| LBN Legal business name | Virella, Vivian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Nov 9th, 2020 - about 4 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 | 1538157862 | NPPES |
| Puerto Rico | Other | 15253 | LIC. |
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