MEDICARE: MR. ARTHUR FLORENDO

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	163W00000X	Registered Nurse	RN131315	AZ

General Provider Information

NPI Number	:	1598219206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARTHUR FLORENDO

Provider Business Mailing Address
First Line	:	3201 E FORT LOWELL RD
Second Line	:	APT. 3024
City	:	TUCSON
State	:	AZ
Zip	:	85716-1660
Country	:	US
Telephone Number	:	520-912-2115
Fax Number	:

Provider Business Practice Location Address
First Line	:	3201 E FORT LOWELL RD
Second Line	:	APT. 3024
City	:	TUCSON
State	:	AZ
Zip	:	85716-1660
Country	:	US
Telephone Number	:	520-912-2115
Fax Number	:

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

Provider Enumeration Date	:	08/10/2016
Last Update Date	:	08/10/2016

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Directions to “ MR. ARTHUR FLORENDO ” Practice Location

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