Healthcare Provider Details

I. General information

NPI: 1790727022
Provider Name (Legal Business Name): NEERU ARORA MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 03/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 W MONROE ST STE 301
JACKSONVILLE FL
32204-1177
US

IV. Provider business mailing address

3849 TIMUQUANA RD
JACKSONVILLE FL
32210-8527
US

V. Phone/Fax

Practice location:
  • Phone: 904-388-8854
  • Fax: 904-278-5554
Mailing address:
  • Phone: 904-388-8854
  • Fax: 904-278-5554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME00542082918
License Number StateFL

VIII. Authorized Official

Name: DR. NEERU ARORA
Title or Position: PRESIDENT
Credential: MD
Phone: 904-708-0161