Healthcare Provider Details

I. General information

NPI: 1386229300
Provider Name (Legal Business Name): EDNA ARRIAGA RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2021
Last Update Date: 03/11/2021
Certification Date: 03/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 CAMINO GARDENS BLVD
BOCA RATON FL
33432-5823
US

IV. Provider business mailing address

1908 E NAVAJO AVE
TAMPA FL
33612-7038
US

V. Phone/Fax

Practice location:
  • Phone: 561-494-4499
  • Fax:
Mailing address:
  • Phone: 813-580-0602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRT15386
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: