Healthcare Provider Details

I. General information

NPI: 1003724352
Provider Name (Legal Business Name): MRS. AREACNA AGUIAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 E EDGEWOOD DR APT L2
LAKELAND FL
33803-3452
US

IV. Provider business mailing address

1920 E EDGEWOOD DR APT L2
LAKELAND FL
33803-3452
US

V. Phone/Fax

Practice location:
  • Phone: 352-425-6584
  • Fax:
Mailing address:
  • Phone: 352-425-6584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number242163
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: