MEDICARE: DR. FLORENTINO ARPON AQUINO 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	208600000X	Surgery Physician	4301031676	MI

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

General Provider Information

NPI Number	:	1952336653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FLORENTINO ARPON AQUINO M.D.

Provider Business Mailing Address
First Line	:	24 N SAINT JOSEPH AVE
Second Line	:	SUITE C-2
City	:	NILES
State	:	MI
Zip	:	49120-2263
Country	:	US
Telephone Number	:	269-683-0330
Fax Number	:	269-684-0400

Provider Business Practice Location Address
First Line	:	24 N SAINT JOSEPH AVE
Second Line	:	SUITE C-2
City	:	NILES
State	:	MI
Zip	:	49120-2263
Country	:	US
Telephone Number	:	269-683-0330
Fax Number	:	269-684-0400

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	07/08/2007

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