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NPI 1376719625

NPI 1376719625 : MICHELLE M ARRIETA-GONZALEZ M.D. : ST PETERSBURG, FL

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General NPI Number Information
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    NPI Number           |    1376719625
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE M ARRIETA-GONZALEZ M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/07/2008
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    Last Update Date     |    12/01/2025
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Provider Practice Location Address
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    Address Line         |    5798 38TH AVE N 
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    City                 |    ST PETERSBURG
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    State                |    FL
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    Zip                  |    33710-1926
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    Country              |    US
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    Telephone            |    727-384-0192
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    Fax                  |    727-384-1500
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Provider Business Mailing Address
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    Address Line         |    14690 SPRING HILL DR STE 101 
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    City                 |    SPRING HILL
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    State                |    FL
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    Zip                  |    34609-8102
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    Country              |    US
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    Telephone            |    352-799-0046
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    Fax                  |    350-606-2857
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    ME110819
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    License Number State |    FL
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