Active NPI
Viva Wellness & Injury, LLC
- Interventional Pain Medicine Physician
- Kissimmee, FL
National Provider Identifier
1780139451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME104722
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 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 DirectoryLocations
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.
-
- Interventional Pain Medicine Physician
- Orlando, FL
- NPI 1871019729
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tavares, FL
- NPI 1164427332
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.