VVC Viera LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

ME31846 Issued in FL

Legal business name

VVC VIERA LLC

Practice address

1200 Edgewater Dr
Orlando, FL 32804-6314

Phone

(407) 244-8559

NPI assigned

Sep 16, 2016

Last updated

Sep 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Martin, MDNPI 1124028436

Title

Owner/MD

Phone

(407) 244-8559

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Preston Martin IV, M.D.

  • Surgery Physician
  • Orlando, FL
  • NPI 1124028436
  Authorized official Same address or phone

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": []
}

• Harper Vugrinovich-Martel
• Hebest Kurabachew Vuillier, APRN
• Linh Vuong
• Emily Wissner Vuu-Gartenberg, MA, CCC-SLP
• Thuan Minh Vuu, DPT
• Duy Vy, O.D.
• Khanh Tuong Vy, RPH
• Geetha Vyas, MD
• Jigar D Vyas, P.T.
• Kadambari Hemalkumar Vyas

• Vascular Surgery Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Vascular Surgery Physician in Florida

• 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.

Verify at the official NPI Registry.