Healthcare Provider Details

I. General information

NPI: 1114967478
Provider Name (Legal Business Name): GINA ARABITG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 07/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 NOKOMIS AVE S SUITE A
VENICE FL
34285-2319
US

IV. Provider business mailing address

241 NOKOMIS AVE S SUITE A
VENICE FL
34285-2319
US

V. Phone/Fax

Practice location:
  • Phone: 941-485-9941
  • Fax: 941-485-2673
Mailing address:
  • Phone: 941-485-9941
  • Fax: 941-485-2673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME69820
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: