Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 80622 | FL |
NPI | 1194791202 |
---|---|
Provider Name | Dr. Jose R. Arias Jr. |
First Address | Altamonte Springs, FL 32701-5105 |
Second Address | Altamonte Springs, FL 32701-5105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 28/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
270739000 | (05) | FL |
H23510 | (02) | FL |