Aviva Healthcare Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

PA9103256 Issued in FL

Legal business name

AVIVA HEALTHCARE INC.

Doing business as

Aviva Health and Wellness

Practice address

353 Cypress Pkwy
Kissimmee, FL 34759-3326

Phone

(407) 343-0542

Fax

(407) 343-0553

NPI assigned

Mar 12, 2011

Last updated

Feb 10, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Eduardo Garrido, PA

Title

Owner

Phone

(407) 343-0542

Specialties & licenses 1

Addresses

Other names 1

• AVIVA HEALTH AND WELLNESS Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5043/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1093013237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 CYPRESS PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593326",
            "telephone_number": "407-343-0542",
            "fax_number": "407-343-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 CYPRESS PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593326",
            "telephone_number": "407-343-0542",
            "fax_number": "407-343-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIVA HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-12",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "GARRIDO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-343-0542",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "PA9103256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVIVA HEALTH AND WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Stephanie Marie Aviles
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• Yasmeen Awada, O.D.
• Johnson Awobusuyi
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• Axiom Clinical Laboratory

• Health Service Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.