Organization · NPI-2
Arviv Health PLLC
Dermatology · Tampa, FL
NPI number1720698103
StatusActive
Last updated in NPPESJul 31, 2020
Details
- NPI
- 1720698103
- Entity type
- Organization (NPI-2)
- Legal business name
- Arviv Health PLLC
- Organization subpart
- No
- Enumeration date
- Jul 31, 2020
- Certification date
- Jul 31, 2020
- Last updated
- Jul 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
11327 Countryway BlvdTampa, FL 33626-2610
Phone 813-855-0111
Mailing address
11327 Countryway BlvdTampa, FL 33626-2610
Authorized official
Brian Clukie
Administrator
8139972099
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