| Vivant Health, Pllc | |
|
660 Glades Rd Ste 140 Boca Raton FL 33431-6466 | |
| (561) 800-4570 | |
| (561) 800-4580 |
| Full Name | Vivant Health, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 660 Glades Rd Ste 140, Boca Raton, Florida |
| Authorized Official Name and Position | Prasanth Gogineni (PRESIDENT) |
| Authorized Official Contact | 5618002601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivant Health, Pllc 10425 S Lago Vista Cir Parkland FL 33076-2970 Ph: (561) 800-2601 | Vivant Health, Pllc 660 Glades Rd Ste 140 Boca Raton FL 33431-6466 Ph: (561) 800-4570 |
| NPI Number | 1942987474 |
|---|---|
| Provider Enumeration Date | 06/27/2023 |
| Last Update Date | 03/19/2024 |
| Medicare PECOS PAC ID | 9032572318 |
|---|---|
| Medicare Enrollment ID | O20230905001227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942987474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Prasanth Gogineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376641902 PECOS PAC ID: 1951315332 Enrollment ID: I20171103001008 |
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