Active NPI
VVC Viera LLC
- Vascular Surgery Physician
- Orlando, FL
National Provider Identifier
1891243051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME31846
- Legal business name
- VVC VIERA LLC
- Practice address
- 1200 Edgewater Dr
Orlando, FL 32804-6314 - Phone
- (407) 244-8559
- NPI assigned
- Sep 16, 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
- Samuel Martin, MD
- Title
- Owner/MD
- Phone
- (407) 244-8559
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | ME31846 | FL | Primary |
Addresses
Primary practice location
1200 Edgewater Dr
Orlando, FL 32804-6314
Mailing address
6525 3Rd St
Suite 208
Rockledge, FL 32955-5727
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473984000000",
"number": "1891243051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6525 3RD ST",
"address_2": "SUITE 208",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329555727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 EDGEWATER DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328046314",
"telephone_number": "407-244-8559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VVC VIERA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-16",
"last_updated": "2016-09-16",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "OWNER/MD",
"authorized_official_telephone_number": "407-244-8559",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME31846",
"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 Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.