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NPI Code Detail

MEDICARE: IRIS JANET ARVELO BA

MEDICARE:   IRIS JANET ARVELO  BA
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1710565171
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRIS JANET ARVELO BA
Provider Business Mailing Address
First Line : 142 HIDDEN LAKE LOOP
Second Line :
City : HAINES CITY
State : FL
Zip : 33844-9173
Country : US
Telephone Number : 321-805-0883
Fax Number :
Provider Business Practice Location Address
First Line : 142 HIDDEN LAKE LOOP
Second Line :
City : HAINES CITY
State : FL
Zip : 33844-9173
Country : US
Telephone Number : 321-805-0883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2021
Last Update Date : 03/29/2021

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Directions to “ IRIS JANET ARVELO BA” Practice Location

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