Provider Demographics
NPI:1558450155
Name:VIVES-AUSTIN, MARGARET CELESTE (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:CELESTE
Last Name:VIVES-AUSTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1781 PARK CENTER DR
Mailing Address - Street 2:SU 120
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-6254
Mailing Address - Country:US
Mailing Address - Phone:407-297-3626
Mailing Address - Fax:407-297-3772
Practice Address - Street 1:1781 PARK CENTER DR
Practice Address - Street 2:SU 120
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-6254
Practice Address - Country:US
Practice Address - Phone:407-297-3626
Practice Address - Fax:407-297-3772
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA47549207P00000X
FLME99847207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP7062Medicare ID - Type Unspecified
C74588Medicare UPIN