Provider Demographics
NPI:1235380510
Name:VIVA VERO INC
Entity type:Organization
Organization Name:VIVA VERO INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PRANAY
Authorized Official - Middle Name:T
Authorized Official - Last Name:RAMDEV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-567-8482
Mailing Address - Street 1:505 BEACHLAND BLVD
Mailing Address - Street 2:SUITE 1, PMB # 263
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-1710
Mailing Address - Country:US
Mailing Address - Phone:772-567-8482
Mailing Address - Fax:
Practice Address - Street 1:960 37TH PL STE 104
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6586
Practice Address - Country:US
Practice Address - Phone:772-567-8482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1588629620OtherINDIVIDUAL NPI