Healthcare Provider Details

I. General information

NPI: 1982758447
Provider Name (Legal Business Name): CHRISTIAN L ARROYO LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4820 NEWBERRY ROAD
GAINSVILLE FL
32609
US

IV. Provider business mailing address

1016 NE 20TH PLACE
GAINSVILLE FL
32609
US

V. Phone/Fax

Practice location:
  • Phone: 352-373-2116
  • Fax: 352-373-1507
Mailing address:
  • Phone: 352-222-0194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA32668
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: