Healthcare Provider Details

I. General information

NPI: 1821030925
Provider Name (Legal Business Name): DAVID R ARONOFF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 09/30/2022
Certification Date: 09/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 HARRISON AVE
PANAMA CITY FL
32401-2524
US

IV. Provider business mailing address

2900 S HIGHWAY 77
LYNN HAVEN FL
32444-5612
US

V. Phone/Fax

Practice location:
  • Phone: 850-818-0021
  • Fax: 850-818-0024
Mailing address:
  • Phone: 850-818-0021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number01069264A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number44488
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberL2792
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code2088P0231X
TaxonomyPediatric Urology Physician
License Number53391
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: