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1316012743
CARMEN C VIVERO
ST AUGUSTINE, FL
NPI
1316012743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RA0401X Internal Medicine, Addiction Medicine
(Licence: FL ME0076599)
Enumeration Date
2006-11-21
Last Update Date
2011-08-19
Business Address
Dr. CARMEN C VIVERO M.D.
1301 PLANTATION ISLAND DR S SUITE 402-B
ST AUGUSTINE, FL 32080-3108
Phone number: 904-460-0707
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Mailing Address
Dr. CARMEN C VIVERO M.D.
1301 PLANTATION ISLAND DR S SUITE 402-B
ST AUGUSTINE, FL 32080-3108
Phone number: 904-460-0707
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