Healthcare Provider Details

I. General information

NPI: 1780456475
Provider Name (Legal Business Name): ARUN GEORGE APRN, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2023
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 N COMMERCE PKWY STE 103
WESTON FL
33326-3255
US

IV. Provider business mailing address

1608 SE 3RD AVE FL 3
FORT LAUDERDALE FL
33316-2564
US

V. Phone/Fax

Practice location:
  • Phone: 954-217-5700
  • Fax: 954-217-5704
Mailing address:
  • Phone: 954-217-5700
  • Fax: 954-217-5704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11025857
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: