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1538157862
VIVIAN VIRELLA
LAKELAND, FL
NPI
1538157862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: PR 15253)
Enumeration Date
2005-10-11
Last Update Date
2020-11-09
Business Address
Dr. VIVIAN VIRELLA MD
5245 US HIGHWAY 98 N
LAKELAND, FL 33809-0516
Phone number: 863-644-3585
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Mailing Address
Dr. VIVIAN VIRELLA MD
5425 S FLORIDA AVE
LAKELAND, FL 33813-2523
Phone number: 863-644-3585
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