Healthcare Provider Details

I. General information

NPI: 1831847664
Provider Name (Legal Business Name): DAYAMIS REYNA ARREGUI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2022
Last Update Date: 05/31/2023
Certification Date: 05/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 S PARSONS AVE
BRANDON FL
33511-6063
US

IV. Provider business mailing address

7138 FOREST MERE DR
RIVERVIEW FL
33578-8650
US

V. Phone/Fax

Practice location:
  • Phone: 813-662-4841
  • Fax: 813-662-4842
Mailing address:
  • Phone: 813-325-7956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11018520
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: