| Doctor Name: | DR. DONATO ANTHONY VIGGIANO |
| NPI Number: | 1194713370 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME40250 |
| Business Practice Address: | 1901 Se Port St Lucie Blvd Port St Lucie, FL - 349525582 |
| Business Phone Number: | 7723353954 |
| Business Fax Number: | |
| Mailing Address: | 1901 Se Port St Lucie Blvd, PORT ST LUCIE |
| State: | FL |
| Postal Code: | 349525582 |
| Phone Number: | 7723357477 |
| Fax Number: | 7723358379 |
| NPI Enumeration Date: | 10/11/2005 |
| NPI Last Update Date: | 09/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | ME40250 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |