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:
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Health care specialties

SpecialtyCodeLicense #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 8 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 1396800421 NPPES
Florida MEDICAID 811698900

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