Healthcare Provider Details

I. General information

NPI: 1770585556
Provider Name (Legal Business Name): ERIK ARAGON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S ORLANDO AVE SUITE 301
WINTER PARK FL
32789-5543
US

IV. Provider business mailing address

1400 S ORLANDO AVE SUITE 301
WINTER PARK FL
32789-5543
US

V. Phone/Fax

Practice location:
  • Phone: 407-645-3151
  • Fax: 407-645-2179
Mailing address:
  • Phone: 407-645-3151
  • Fax: 407-645-2179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME0071076
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: