Provider Demographics
NPI:1235691650
Name:VIEIRA, PAMELA M (DO)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:M
Last Name:VIEIRA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5100 COCONUT CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-3913
Mailing Address - Country:US
Mailing Address - Phone:954-281-7700
Mailing Address - Fax:954-715-7603
Practice Address - Street 1:5100 COCONUT CREEK PKWY
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-3913
Practice Address - Country:US
Practice Address - Phone:954-281-7700
Practice Address - Fax:954-715-7603
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYTP924207R00000X
FLOS17893207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine