Healthcare Provider Details

I. General information

NPI: 1770850612
Provider Name (Legal Business Name): CENTRAL FLORIDA INTERNAL, OCCUPATIONAL & ENVIRONMENTAL MEDICINE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2011
Last Update Date: 10/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 S GEORGE BLVD
SEBRING FL
33875-5846
US

IV. Provider business mailing address

7200 S GEORGE BLVD
SEBRING FL
33875-5846
US

V. Phone/Fax

Practice location:
  • Phone: 863-471-9377
  • Fax: 863-471-9477
Mailing address:
  • Phone: 863-471-9377
  • Fax: 863-471-9477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number604550
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number604550
License Number StateFL

VIII. Authorized Official

Name: DR. ROGER N ARUMUGAM
Title or Position: P/D
Credential: M.D.
Phone: 863-471-9377