Healthcare Provider Details

I. General information

NPI: 1982101655
Provider Name (Legal Business Name): ARIELLA PRICE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2018
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1921 WALDEMERE ST STE 802
SARASOTA FL
34239-2913
US

IV. Provider business mailing address

PO BOX 947407
ATLANTA GA
30394-7407
US

V. Phone/Fax

Practice location:
  • Phone: 941-917-7888
  • Fax: 941-917-6314
Mailing address:
  • Phone: 941-917-2600
  • Fax: 941-917-7884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME158051
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: