VIVANT MEDICAL GROUP LLC

TAMPA, FL
NPI1124652425
Entity TypeOrganization
Authorized ContactDAPHNEE MOISE-JOHNSON
President
800-574-9491
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2020-02-25
Last Update Date2021-07-06
Business Address
VIVANT MEDICAL GROUP LLC
6214 MEMORIAL HWY STE B
TAMPA, FL 33615-4507
Phone number: 800-574-9491
Mailing Address
VIVANT MEDICAL GROUP LLC
6214 MEMORIAL HWY STE B
TAMPA, FL 33615-4507
Phone number: 800-574-9491
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