Provider Demographics
NPI:1417199902
Name:VIEL, STEPHEN CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:CHARLES
Last Name:VIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 W INDIAN RIVER BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:FL
Mailing Address - Zip Code:32132-3500
Mailing Address - Country:US
Mailing Address - Phone:386-868-2619
Mailing Address - Fax:386-868-5498
Practice Address - Street 1:602 W INDIAN RIVER BLVD STE 2
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:FL
Practice Address - Zip Code:32132-3500
Practice Address - Country:US
Practice Address - Phone:386-868-2619
Practice Address - Fax:386-868-5498
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-30
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1152132083A0300X
FLFV3712662207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine