Vivas, William Rodrigo

Vivas, William Rodrigo is an individual health care provider with primary practice located at 4930 E Lake Mary Blvd , Sanford FL 32771-5003. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Vivas, William Rodrigo can be contacted via phone (407) 322-8645.

Contact Information

Primary practice address
4930 E Lake Mary Blvd Sanford FL 32771-5003
Phone: (407) 322-8645
Fax: (407) 330-5074
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO 1733 Florida

Profile Details

NPI number 1053467993
LBN Legal business name Vivas, William Rodrigo
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Sep 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053467993 NPPES
Florida MEDICAID 016877500

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