Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | ME71717 | FL |
N | 2080P0208X | Pediatric Infectious Diseases | ME71717 | FL |
NPI | 1205802410 |
---|---|
Provider Name | Dr. Carlos Antonio Arango |
First Address | Jacksonville, FL 32231-4008 |
Second Address | Jacksonville, FL 32256-7470 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 19/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000947361A | (05) | GA |
2642026-00 | (05) | FL |
H64980 | (02) | FL |