Healthcare Provider Details

I. General information

NPI: 1417265901
Provider Name (Legal Business Name): ARVIND R PARBHOO MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2010
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4820 5TH AVE N
SAINT PETERSBURG FL
33713-7218
US

IV. Provider business mailing address

4820 5TH AVE N
SAINT PETERSBURG FL
33713-7218
US

V. Phone/Fax

Practice location:
  • Phone: 727-528-1138
  • Fax: 727-528-2295
Mailing address:
  • Phone: 727-528-1138
  • Fax: 727-528-2295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME57745
License Number StateFL

VIII. Authorized Official

Name: DR. ARVIND R PARBHOO
Title or Position: OWNER PRESIDENT
Credential: MD
Phone: 727-528-1138