Healthcare Provider Details

I. General information

NPI: 1467153940
Provider Name (Legal Business Name): ROXANA BEBEY ARNP, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2023
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 VIDINA DR
MELBOURNE FL
32940-7698
US

IV. Provider business mailing address

3300 S FISKE BLVD
ROCKLEDGE FL
32955-4306
US

V. Phone/Fax

Practice location:
  • Phone: 321-471-1068
  • Fax: 321-434-9585
Mailing address:
  • Phone: 321-471-1068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11022309
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPRN11022309
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: