Healthcare Provider Details

I. General information

NPI: 1073900890
Provider Name (Legal Business Name): ARLENE ALBARRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2015
Last Update Date: 03/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7411 HOLLOW RIDGE CIR
ORLANDO FL
32822-7220
US

IV. Provider business mailing address

7411 HOLLOW RIDGE CIR
ORLANDO FL
32822-7220
US

V. Phone/Fax

Practice location:
  • Phone: 407-325-6058
  • Fax:
Mailing address:
  • Phone: 407-325-6058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSL2308
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: