Healthcare Provider Details

I. General information

NPI: 1538355342
Provider Name (Legal Business Name): MRS. ARIELA VERONICA BALLARDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2007
Last Update Date: 09/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1995 SW SILVER PINE WAY # 119F2
PALM CITY FL
34990-8415
US

IV. Provider business mailing address

1995 SW SILVER PINE WAY # 119F2
PALM CITY FL
34990-8415
US

V. Phone/Fax

Practice location:
  • Phone: 772-219-0996
  • Fax:
Mailing address:
  • Phone: 772-219-0996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: