MEDICARE: VICKIE S ARROYO BS/CAP

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	101YA0400X	Addiction (Substance Use Disorder) Counselor		FL

General Provider Information

NPI Number	:	1770387466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICKIE S ARROYO BS/CAP

Provider Business Mailing Address
First Line	:	1235 PROVIDENCE BLVD STE R
Second Line	:	UNIT 696
City	:	DELTONA
State	:	FL
Zip	:	32725-7363
Country	:	US
Telephone Number	:	386-232-8280
Fax Number	:

Provider Business Practice Location Address
First Line	:	1235 PROVIDENCE BLVD STE R
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32725-7363
Country	:	US
Telephone Number	:	386-232-8280
Fax Number	:

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

Provider Enumeration Date	:	04/02/2025
Last Update Date	:	05/22/2026

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