EVIVIA NPI 1336762327

NPI Information

NPI: 1336762327
Provider Name: EVIVIA
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1370 WASHINGTON AVE STE 224
MIAMI BEACH, FL
ZIP 33139
Phone: (786) 673-4029
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EVIVIA is a health service clinic center in Miami Beach, FL. EVIVIA NPI is 1336762327. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1370 WASHINGTON AVE STE 224
MIAMI BEACH, FL
ZIP 33139-215
Phone: (786) 673-4029

The provider's authorized official is Antonina Eremenko .
The authorized official title is Ceo and has the following contact phone number (786) 673-4029.

The CLIA number assigned to this NPI record is 10D2186002 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2020 and was last updated on 9/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				No
2	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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