Healthcare Provider Details

I. General information

NPI: 1699686253
Provider Name (Legal Business Name): MARIANA PATRICIA ' ARROYO CAICEDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9276 NW 40TH ST
CORAL SPRINGS FL
33065-2944
US

IV. Provider business mailing address

9276 NW 40TH ST
CORAL SPRINGS FL
33065-2944
US

V. Phone/Fax

Practice location:
  • Phone: 954-861-9292
  • Fax:
Mailing address:
  • Phone: 954-861-9292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTA27546
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: