MEDICARE: ARLENA TAPIA

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	122300000X	Dentist	DN29177	FL

General Provider Information

NPI Number	:	1205671054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARLENA TAPIA

Provider Business Mailing Address
First Line	:	1480 TIGER PARK LN
Second Line	:
City	:	GULF BREEZE
State	:	FL
Zip	:	32563-5718
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1480 TIGER PARK LN
Second Line	:
City	:	GULF BREEZE
State	:	FL
Zip	:	32563-5718
Country	:	US
Telephone Number	:	850-733-5043
Fax Number	:

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

Provider Enumeration Date	:	06/25/2024
Last Update Date	:	06/25/2024

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Directions to “ ARLENA TAPIA ” Practice Location

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