Healthcare Provider Details

I. General information

NPI: 1245750348
Provider Name (Legal Business Name): ARLENE PHIPPS ASINOVSKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2017
Last Update Date: 07/03/2024
Certification Date: 07/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9970 CENTRAL PARK BLVD N STE 403
BOCA RATON FL
33428-2236
US

IV. Provider business mailing address

9970 CENTRAL PARK BLVD N STE 403
BOCA RATON FL
33428-2236
US

V. Phone/Fax

Practice location:
  • Phone: 561-910-7300
  • Fax: 561-910-7299
Mailing address:
  • Phone: 561-910-7300
  • Fax: 561-910-7299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number163940
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number287809
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: