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NPI Code Detail

MEDICARE: IVONNE AREAN P.A

MEDICARE: IVONNE AREAN P.A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA9101500FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063489995
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVONNE AREAN P.A
Provider Business Mailing Address
First Line : PO BOX 198054
Second Line :
City : ATLANTA
State : GA
Zip : 30384-8054
Country : US
Telephone Number : 786-467-2159
Fax Number :
Provider Business Practice Location Address
First Line : 9555 SW 162ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33196-6408
Country : US
Telephone Number : 786-467-2159
Fax Number : 786-533-9703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 07/11/2022

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Directions to “ IVONNE AREAN P.A” Practice Location

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