MEDICARE: JUAN R ARAUZ MD

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	207Q00000X	Family Medicine Physician	ME0045614	FL

General Provider Information

NPI Number	:	1659482248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN R ARAUZ MD

Provider Business Mailing Address
First Line	:	PO BOX 1269
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34656-1269
Country	:	US
Telephone Number	:	727-846-9163
Fax Number	:	727-849-5981

Provider Business Practice Location Address
First Line	:	5438 TROUBLE CREEK RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-5124
Country	:	US
Telephone Number	:	727-846-9163
Fax Number	:

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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