MEDICARE: ARIA HEALTH LLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1356113724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIA HEALTH LLC

Provider Business Mailing Address
First Line	:	1000 NW 10TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-6137
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 NW 10TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-6137
Country	:	US
Telephone Number	:	954-900-3163
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YVES JODESTY JR.
Credential	:	MD
Telephone Number	:	954-900-3163

Provider Enumeration Date	:	10/27/2023
Last Update Date	:	10/27/2023

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Directions to “ARIA HEALTH LLC ” Practice Location

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