Viggiano, Donato Anthony
Viggiano, Donato Anthony is an sole proprietor health care provider with primary practice located at 1901 Se Port St Lucie Blvd , Port St Lucie FL 34952-5582. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Viggiano, Donato Anthony can be contacted via phone (772) 335-3954.Contact Information
Primary practice address
1901 Se Port St Lucie Blvd
Port St Lucie FL 34952-5582
Phone: (772) 335-3954
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME40250 | Florida |
Profile Details
| NPI number | 1194713370 |
|---|---|
| LBN Legal business name | Viggiano, Donato Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2005 |
| Last updated | May 28th, 2020 - about 6 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 | 1194713370 | NPPES |
| Florida | Other | 43082 | BCBS OF FLORIDA |
| Florida | Other | 650799434 | BCBS OF FLORIDA |
| Florida | MEDICAID | 067096100 | BCBS OF FLORIDA |
| Florida | Other | 240007672 | BCBS OF FLORIDA |
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