MEDICARE: DR. LARRY A. ARONBERG DPM

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	213EP1101X	Primary Podiatric Medicine Podiatrist	PO 1356	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	87735X	OTHER	FL	MEDICARE

General Provider Information

NPI Number	:	1407853831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARRY A. ARONBERG DPM

Provider Business Mailing Address
First Line	:	31 S FEDERAL HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-3837
Country	:	US
Telephone Number	:	561-586-3100
Fax Number	:	561-586-4400

Provider Business Practice Location Address
First Line	:	31 S FEDERAL HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-3837
Country	:	US
Telephone Number	:	561-586-3100
Fax Number	:	561-586-4400

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	05/01/2013

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