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General NPI Number Information
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NPI Number | 1497084727
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Entity Type | Organization
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Legal Business Name | HORACIO ARIAS M.D., P.A.
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Dates
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Enumeration Date | 12/16/2009
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 2150 W DR MARTIN LUTHER KING JR BLVD 2ND FLOOR SUITE B
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City | TAMPA
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State | FL
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Zip | 33607
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Country | US
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Telephone | 813-872-1505
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Fax | 813-877-5910
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Provider Business Mailing Address
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Address Line | 2150 W DR MARTIN LUTHER KING JR BLVD 2ND FLOOR SUITE B
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City | TAMPA
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State | FL
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Zip | 33607-6551
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Country | US
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Telephone | 813-872-1505
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Fax | 813-877-5910
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Authorized Official
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Title or Position | OWNER
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Name | DR. HORACIO ARIAS
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Credential | M.D., P.A.
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Telephone | 813-872-1505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME27858
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License Number State | FL
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