Healthcare Provider Details

I. General information

NPI: 1932252202
Provider Name (Legal Business Name): ARAGON & ARAGON MDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 08/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 N PARROTT AVE
OKEECHOBEE FL
34972-2110
US

IV. Provider business mailing address

1004 N PARROTT AVE
OKEECHOBEE FL
34972-2110
US

V. Phone/Fax

Practice location:
  • Phone: 863-763-6496
  • Fax: 863-763-1965
Mailing address:
  • Phone: 863-763-6496
  • Fax: 863-763-1965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GLORIA R ARAGON
Title or Position: PHYSICIAN PRESIDENT OF CORPORATION
Credential: M.D.
Phone: 863-763-6496