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1942987474
VIVANT HEALTH, PLLC
BOCA RATON, FL
NPI
1942987474
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Entity Type
Organization
Authorized Contact
PRASANTH GOGINENI
President
561-800-2601
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2023-06-27
Last Update Date
2024-03-19
Business Address
VIVANT HEALTH, PLLC
660 GLADES RD STE 140
BOCA RATON, FL 33431-6466
Phone number: 561-800-4570
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Mailing Address
VIVANT HEALTH, PLLC
10425 S LAGO VISTA CIR
PARKLAND, FL 33076-2970
Phone number: 561-800-2601
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