Lisa Magaly Vivo, EDS - Psychologist in Saint Cloud, FL

Lisa Magaly Vivo, EDS is a Psychologist - School based in Saint Cloud, Florida. Lisa Magaly Vivo is licensed to practice in Florida (license number SS1276) and her current practice location is 1121 Kentucky Ave, Saint Cloud, Florida. She can be reached at her office (for appointments etc.) via phone at (407) 929-7399.

NPI number for Lisa Magaly Vivo is 1396392528 and her current mailing address is 1825 Tattenham Way, Orlando, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396392528.

Contact Information

Lisa Magaly Vivo, EDS
1121 Kentucky Ave,
Saint Cloud, FL 34769-3727
(407) 929-7399
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLisa Magaly Vivo
GenderFemale
SpecialityPsychologist - School
Location1121 Kentucky Ave, Saint Cloud, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396392528
  • Provider Enumeration Date: 08/22/2019
  • Last Update Date: 08/22/2019

Medical Identifiers

Medical identifiers for Lisa Magaly Vivo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396392528NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School SS1276 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Magaly Vivo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Magaly Vivo, EDS
1825 Tattenham Way,
Orlando, FL 32837-6512

Ph: (813) 468-6642
Lisa Magaly Vivo, EDS
1121 Kentucky Ave,
Saint Cloud, FL 34769-3727

Ph: (407) 929-7399

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