Organization · Type 2 NPI

Vivant Medical Group LLC

General Practice Physician · Tampa, FL

NPI number 1124652425 Active

Practice location

6214 Memorial Hwy Ste B
Tampa, FL 33615-4507

Call (800) 574-9491 Map

Fax (800) 547-2802

Other practice locations

  • 15600 Hancock Rd, Sarasota, FL 34240-6701 · (813) 924-5210

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1124652425

Vivant Medical Group LLC's National Provider Identifier is 1124652425, issued on Feb 25, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Tampa, FL. The record was last updated on Jul 6, 2021.