Organization Active NPI

Arviv Health PLLC

  • Dermatology Physician
  • Tampa, FL
National Provider Identifier
1720698103
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ARVIV HEALTH PLLC
Practice address
11327 Countryway Blvd
Tampa, FL 33626-2610
Phone
(813) 855-0111
NPI assigned
Jul 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Brian Clukie
Title
Administrator
Phone
(813) 997-2099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

11327 Countryway Blvd
Tampa, FL 33626-2610

Mailing address

11327 Countryway Blvd
Tampa, FL 33626-2610

National Provider Directory

National Provider Directory

Locations

11327 Countryway Blvd
Tampa, FL 33626
Phone (813) 855-0111

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1720698103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11327 COUNTRYWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11327 COUNTRYWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262610",
            "telephone_number": "813-855-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARVIV HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "CLUKIE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-997-2099"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.