Healthcare Provider Details
I. General information
NPI: 1063600161
Provider Name (Legal Business Name): BEATRIZ ARVELO SANKEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/15/2007
Last Update Date: 01/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
31860 US 19 NORTH
PALM HARBOR FL
34684
US
IV. Provider business mailing address
31860 US 19 NORTH
PALM HARBOR FL
34684
US
V. Phone/Fax
- Phone: 727-787-6335
- Fax:
- Phone: 727-787-6335
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | ME106152 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: