MEDICARE: MS. ROSEMARY ARIAS ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP-9231419	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ARNP-9231419	OTHER	FL	PROFESSIONAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023440989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSEMARY ARIAS ARNP

Provider Business Mailing Address
First Line	:	293 NW PEACOCK BLVD
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34986-2222
Country	:	US
Telephone Number	:	772-335-9600
Fax Number	:	772-335-7972

Provider Business Practice Location Address
First Line	:	293 NW PEACOCK BLVD
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34986-2222
Country	:	US
Telephone Number	:	772-335-9600
Fax Number	:	772-335-7972

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2013
Last Update Date	:	01/27/2022

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