Organization Active NPI

VVC Viera LLC

  • Vascular Surgery Physician
  • Orlando, FL
National Provider Identifier
1891243051
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.