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NPI Code Detail

MEDICARE: PEDRO PABLO ARAGON AMARGO APRN

MEDICARE: PEDRO PABLO ARAGON AMARGO APRN
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
1363L00000XNurse Practitioner9389369FL
2363L00000XNurse PractitionerAPRN11000578FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487124566
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEDRO PABLO ARAGON AMARGO APRN
Provider Business Mailing Address
First Line : PO BOX 878
Second Line :
City : DAVENPORT
State : FL
Zip : 33836-0878
Country : US
Telephone Number : 689-223-3898
Fax Number : 689-223-3898
Provider Business Practice Location Address
First Line : 106 PARK PLACE BLVD STE C
Second Line :
City : DAVENPORT
State : FL
Zip : 33837-6868
Country : US
Telephone Number : 863-422-7664
Fax Number : 863-422-7664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2018
Last Update Date : 04/08/2026

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