VVC VIERA LLC (NPI# 1891243051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891243051 |
| Entity Type | Organization |
| Organization Name | VVC VIERA LLC |
| Practice Address |
1200 Edgewater Dr Orlando FL 32804-6314 |
| Mailing Address |
6525 3rd St Suite 208 Rockledge FL 32955-5727 |
| Practice Telephone | 4072448559 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |
| Authorized Official Name | SAMUEL MARTIN (OWNER/MD) |
| Authorized Official Telephone | 4072448559 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME31846 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1200 EDGEWATER DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-6314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255331666 | Vascular Center of Orlando, P.a. | Surgery | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2005-07-28 |
| 1447794805 | Shana M Engel | Nurse Practitioner | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2016-12-05 |
| 1144608720 | Mpfr Imaging LLC | Physiological Laboratory | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2015-05-14 |
| 1164731691 | Colin R Doyle | Nurse Practitioner | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2010-10-01 |
| 1164751046 | Allison Blizzard Manning | Nurse Practitioner | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2009-12-23 |
| 1043443468 | Lisa A Lavoie | Physician Assistant | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2009-09-02 |
| 1164609350 | Nannette G Wilson | Nurse Practitioner | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2008-01-30 |
| 1215001227 | Julie Ann Kunitser | Physician Assistant | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2006-11-20 |
| 1265491898 | Lisa Marie Cunningham | Nurse Practitioner | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2006-03-22 |
| 1730150509 | Hugo Vincent Hart | Dermatology | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2006-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619194099 | Gerard Paul De Castro | Surgery | 13800 Veterans Way Dept Of, Orlando, FL 32827-7401 | 2007-04-19 |
| 1396826707 | Charles S. Garnette | Surgery | 7412 Docs Grove Cir, Orlando, FL 32819-8010 | 2006-10-19 |
| 1396724571 | Charles S. Thompson | Surgery | 80 W Michigan St, Orlando, FL 32806-4453 | 2006-01-16 |
| 1942288808 | Manuel Ramon Perez-izquierdo | Surgery | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2006-01-02 |
| 1255331666 | Vascular Center of Orlando, P.a. | Surgery | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2005-07-28 |
| 1649665639 | Rachel Elizabeth Wilson | Surgery | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2015-04-06 |
| 1629368030 | Mohammad Nabeel Abbasi | Surgery | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2011-04-19 |
| 1740457365 | Edgar David Guzman Arrieta | Surgery | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2008-05-13 |
| 1952571671 | David Varnagy | Surgery | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2008-03-10 |
| 1790990687 | Mark Edward Ranson | Surgery | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2007-05-14 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on VVC VIERA LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.