Healthcare Provider Details

I. General information

NPI: 1487715421
Provider Name (Legal Business Name): FERNANDO LUIS ARROYO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: FERNANDO LUIS ARROYO SANCHEZ MD

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 04/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11260 SULLIVAN ST
RIVERVIEW FL
33578-2140
US

IV. Provider business mailing address

900 S PINE ISLAND RD SUITE 800
PLANTATION FL
33324-3920
US

V. Phone/Fax

Practice location:
  • Phone: 813-689-7571
  • Fax: 813-654-8129
Mailing address:
  • Phone: 813-689-7571
  • Fax: 813-654-8129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: