Active NPI
Viva Wellness & Injury, LLC
- Interventional Pain Medicine Physician
- Orlando, FL
National Provider Identifier
1871019729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- VIVA WELLNESS & INJURY, LLC
- Practice address
- 7780 Lake Underhill Rd Ste 109
Orlando, FL 32822-8218 - Phone
- (407) 350-5075
- Fax
- (407) 350-5089
- NPI assigned
- Aug 22, 2017
- Organization subpart
- Yes
- Parent organization
- VIVA WELLNESS & INJURY, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edwin Mejias
- Title
- Vice President
- Phone
- (407) 493-3979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
7780 Lake Underhill Rd Ste 109
Orlando, FL 32822-8218
Mailing address
5703 Red Bug Lake Rd # 310
Winter Springs, FL 32708-4969
Phone (407) 350-5075
National Provider Directory
National Provider Directory- Part of
- Viva Wellness Injury LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Interventional Pain Medicine Physician
- Kissimmee, FL
- NPI 1780139451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571184000000",
"number": "1871019729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5703 RED BUG LAKE RD # 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": "7780 LAKE UNDERHILL RD STE 109",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328228218",
"telephone_number": "407-350-5075",
"fax_number": "407-350-5089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIVA WELLNESS & INJURY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VIVA WELLNESS & INJURY, LLC",
"enumeration_date": "2017-08-22",
"last_updated": "2019-10-16",
"status": "A",
"authorized_official_last_name": "MEJIAS",
"authorized_official_first_name": "EDWIN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "407-493-3979"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.