Healthcare Provider Details
I. General information
NPI: 1700527553
Provider Name (Legal Business Name): ARINA LITAROV DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/05/2022
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3491 GANDY BLVD N STE 107
PINELLAS PARK FL
33781-2652
US
IV. Provider business mailing address
3491 GANDY BLVD N STE 107
PINELLAS PARK FL
33781-2652
US
V. Phone/Fax
- Phone: 727-273-7694
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | SC007288 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | PO4664 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: