Provider Demographics
NPI:1205861838
Name:VIERA INTERNAL MEDICINE, PLC
Entity Type:Organization
Organization Name:VIERA INTERNAL MEDICINE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUCIAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:FLORESCU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-752-4100
Mailing Address - Street 1:8075 SPYGLASS HILL RD STE 101
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-8281
Mailing Address - Country:US
Mailing Address - Phone:321-752-4100
Mailing Address - Fax:321-752-0067
Practice Address - Street 1:8075 SPYGLASS HILL RD STE 101
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-8281
Practice Address - Country:US
Practice Address - Phone:321-752-4100
Practice Address - Fax:321-752-0067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0051519207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTAX ID NUMBER