Organization Active NPI

Viva Wellness & Injury, LLC

  • Interventional Pain Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1780139451
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME104722 Issued in FL
Legal business name
VIVA WELLNESS & INJURY, LLC
Practice address
701 E Oak St
Suite a
Kissimmee, FL 34744-4575
Phone
(407) 350-5075
Fax
(407) 350-5089
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Authorized official

Name
Edwin Mejias, CFO
Title
Owner
Phone
(407) 657-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X ME104722 FL Primary

Addresses

Primary practice location

701 E Oak St
Suite a
Kissimmee, FL 34744-4575

Mailing address

5703 Red Bug Lake Rd
# 310
Winter Springs, FL 32708-4969
Phone (407) 350-5075

National Provider Directory

National Provider Directory

Locations

701 E Oak St
Ste A
Kissimmee, FL 34744
Phone (407) 350-5075

5703 Red Bug Lake Rd
#310
Winter Springs, FL 32708

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1780139451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 RED BUG LAKE RD",
            "address_2": "# 310",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084969",
            "telephone_number": "407-350-5075",
            "fax_number": "407-350-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E OAK ST",
            "address_2": "SUITE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444575",
            "telephone_number": "407-350-5075",
            "fax_number": "407-350-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA WELLNESS & INJURY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "MEJIAS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-657-7979",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME104722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.