Viviana G. Colmegna, M.D.
Individual provider Active NPI Psychiatry Physician · Marathon, FL
NPI 1295761344 · NPPES record last updated Aug 2, 2008
Key facts
- NPI
- 1295761344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- ME74788 (FL)
- Practice address
- 3000 41St Street Ocean
Marathon, FL 33050-2373 - Phone
- (305) 434-9033
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME74788 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet South Broward LLC | Psychiatry | Past | Accepting new patients |
| University of Miami | Psychiatry | Past | Accepting new patients |
| Bayview Center for Mental Health Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME74788 | FL | Yes |
Addresses
Primary practice location
3000 41St Street Ocean
Marathon, FL 33050-2373
Mailing address
3000 41St Street Ocean
Marathon, FL 33050-2373
Phone (305) 434-9033
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265062200 | Medicaid | FL | |
| 44952 | Other | FL | BLUE SHIELD OF FL |
Other providers in Marathon, FL
- City of Marathon a Florida Municipality
- Kathleen Clark
- Catherine C Clevenger
- CMS Marathon
- Edward J. Collins Jr.
- Community Health of South Florida Inc
- Community Health of South Florida, Inc.
- Glenn Cooreman
- Savannah Copeland
- Nicole Corning
All providers in Marathon, FL · Psychiatry Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.