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General NPI Number Information
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NPI Number | 1548713480
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Entity Type | Organization
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Legal Business Name | ARROYO PALM HARBOR PEDIATRICS
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | 2595 TAMPA RD SUITE W
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City | PALM HARBOR
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State | FL
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Zip | 34684-3152
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Country | US
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Telephone | 727-784-2229
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Fax | 727-223-8408
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Provider Business Mailing Address
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Address Line | 2595 TAMPA RD SUITE W
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City | PALM HARBOR
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State | FL
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Zip | 34684-3152
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Country | US
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Telephone | 727-784-2229
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Fax | 727-223-8408
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Authorized Official
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Title or Position | OWNER/PEDIATRICIAN
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Name | DR. FERNANDO LUIS ARROYO
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Credential | M.D.
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Telephone | 727-744-2568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME37311
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License Number State | FL
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