| Evivia | |
|
1370 Washington Ave Ste 224 Miami Beach FL 33139-4215 | |
| (786) 673-4029 | |
| Not Available |
| Full Name | Evivia |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 1370 Washington Ave Ste 224, Miami Beach, Florida |
| Authorized Official Name and Position | Antonina Eremenko (CEO) |
| Authorized Official Contact | 7866734029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evivia 1370 Washington Ave Ste 224 Miami Beach FL 33139-4215 Ph: (786) 673-4029 | Evivia 1370 Washington Ave Ste 224 Miami Beach FL 33139-4215 Ph: (786) 673-4029 |
| NPI Number | 1336762327 |
|---|---|
| Provider Enumeration Date | 05/25/2020 |
| Last Update Date | 09/06/2021 |
| Certification Date | 09/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336762327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QH0100X | Clinic/center - Health Service | () | Primary |
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