| NPI | 1134805534 |
|---|---|
| Doing Business As | VIVA BLOOM |
| Entity Type | Organization |
| Authorized Contact | FREDERIED RIVERA LOPEZ Fnp Bc 407-693-2819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |