Dr. William Rodrigo Vivas
Foot Surgery
4930 E Lake Mary Blvd
Sanford
, Florida 32771-5003
Dr. William Rodrigo Vivas
Foot Surgery
4930 E Lake Mary Blvd
Sanford
, Florida 32771-5003
(407) 330-5074
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. William Rodrigo Vivas
- 4930 E Lake Mary Blvd
- Sanford, FL
- Zip : 32771-5003
- Fax : (407) 330-5074
- Phone : (407) 322-8645
Second Address
- Dr. William Rodrigo Vivas
- 4930 E Lake Mary Blvd
- Sanford, FL
- Zip : 32771-5003
- Fax : (407) 330-5074
- Phone : (407) 322-8645
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | PO 1733 | FL |
National Provider Identifier
| NPI | 1053467993 |
|---|---|
| Provider Name | Dr. William Rodrigo Vivas |
| First Address | Sanford, FL 32771-5003 |
| Second Address | Sanford, FL 32771-5003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2007 |
| Last Update Date | 03/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 016877500 | (05) | FL |
| 87883X | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.