MEDICARE: ARNALDO CARMOUZE 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
1	363AM0700X	Medical Physician Assistant	PA9100713	FL

General Provider Information

NPI Number	:	1982843587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARNALDO CARMOUZE P.A.

Provider Business Mailing Address
First Line	:	6545 SW 95TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-2213
Country	:	US
Telephone Number	:	305-282-9458
Fax Number	:

Provider Business Practice Location Address
First Line	:	6545 SW 95TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-2213
Country	:	US
Telephone Number	:	305-282-9458
Fax Number	:

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

Provider Enumeration Date	:	02/05/2009
Last Update Date	:	10/08/2014

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