Healthcare Provider Details

I. General information

NPI: 1548713480
Provider Name (Legal Business Name): ARROYO PALM HARBOR PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2016
Last Update Date: 03/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2595 TAMPA RD SUITE W
PALM HARBOR FL
34684-3152
US

IV. Provider business mailing address

2595 TAMPA RD SUITE W
PALM HARBOR FL
34684-3152
US

V. Phone/Fax

Practice location:
  • Phone: 727-784-2229
  • Fax: 727-223-8408
Mailing address:
  • Phone: 727-784-2229
  • Fax: 727-223-8408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME37311
License Number StateFL

VIII. Authorized Official

Name: DR. FERNANDO LUIS ARROYO
Title or Position: OWNER/PEDIATRICIAN
Credential: M.D.
Phone: 727-744-2568