Sussi Vivar
M.D | Pediatrics | Female
Sussi Vivar, M.D is a Orlando, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Sussi Vivar is
1651 N Semoran Blvd, Orlando, Florida - 32807-3575. She can be contacted on phone at
407-249-1234 and fax number 407-249-1755.
Sussi Vivar is a sole proprietor of her business.
NPI number (Unique professional ID) for Sussi Vivar is
1467897975 which was assigned by NPPES on 10 May, 2013 and it was last updated on 26 Oct, 2020.
Sussi Vivar license number is
ME128202 for Pediatrics (208000000X) in Florida.
Sussi Vivar is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Sussi Vivar basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Sussi Vivar |
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| Credential : | M.D |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Sussi Vivar address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1651 N Semoran Blvd
Orlando, FL, 32807-3575
United States |
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| Phone Number : | 407-249-1234 |
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| Fax Number : | 407-249-1755 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1467897975 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 May, 2013 |
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| Last Updated On : | 26 Oct, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sussi Vivar are as mentioned. Primary taxonomy code for Sussi Vivar, M.D is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME128202 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Sussi Vivar such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 017692800 | MEDICAID | FL | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
596 COURTLAND BLVD,
DELTONA, FL, 32738-8902
United States | DELTONA, FL | 407-249-1234 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 11513 Lake Underhill Rd
Orlando, FL, 32825-5001
United States |
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| Phone Number : | 407-249-1234 |
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| Fax Number : | 407-249-1755 |
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Business Location:
Patients can refer following map for directions to
Sussi Vivar practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.