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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538157862 NPPES
Puerto Rico Other 15253 LIC.

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