Healthcare Provider Details

I. General information

NPI: 1003082728
Provider Name (Legal Business Name): RHEA ARLENE HURWITZ ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2008
Last Update Date: 05/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 W MARTIN LUTHER KING BOULEVARD
TAMPA FL
33607-6307
US

IV. Provider business mailing address

3001 W MARTIN LUTHER KING BOULEVARD
TAMPA FL
33607-6307
US

V. Phone/Fax

Practice location:
  • Phone: 813-554-8511
  • Fax:
Mailing address:
  • Phone: 813-554-8511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP1003542
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: