MEDICARE: DAVID R ARONOFF M.D.

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
1	208800000X	Urology Physician	01069264A	IN
2	208800000X	Urology Physician	44488	KY
3	208800000X	Urology Physician	L2792	TX
4	2088P0231X	Pediatric Urology Physician	53391	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	107706104	OTHER	TX	FIRSTCARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8X8750	OTHER	TX	BCBS IND
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821030925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID R ARONOFF M.D.

Provider Business Mailing Address
First Line	:	2900 S HIGHWAY 77
Second Line	:
City	:	LYNN HAVEN
State	:	FL
Zip	:	32444-5612
Country	:	US
Telephone Number	:	850-818-0021
Fax Number	:

Provider Business Practice Location Address
First Line	:	740 HARRISON AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-2524
Country	:	US
Telephone Number	:	850-818-0021
Fax Number	:	850-818-0024

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	09/30/2022

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Directions to “ DAVID R ARONOFF M.D.” Practice Location

Language	Start Address	Practice Location

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