Healthcare Provider Details

I. General information

NPI: 1386115483
Provider Name (Legal Business Name): ARUSHA P HEYAT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARUSHA JACOT ARPN

II. Dates (important events)

Enumeration Date: 12/16/2018
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5311 SPRING HILL DR
SPRING HILL FL
34606-4558
US

IV. Provider business mailing address

3077 CITRON GOLD BLVD APT 309
LUTZ FL
33559-7427
US

V. Phone/Fax

Practice location:
  • Phone: 877-381-4200
  • Fax:
Mailing address:
  • Phone: 205-585-0286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAG10180012
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN11000547
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: