Vivant Medical Group LLC
NPI #1124652425 in Tampa, Florida
Provider Information
- NPI Number
- 1124652425
- Entity Type
- Organization
- Organization Name
- Vivant Medical Group LLC
- Primary Specialty
- General Practice
- Enumeration Date
- Feb 25, 2020
- Last Updated
- Jul 6, 2021
Practice Location
Authorized Official
- Name
- DAPHNEE MOISE-JOHNSON, MD
- Title
- PRESIDENT
- Phone
- (800) 574-9491
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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