Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | ME69820 | FL |
NPI | 1114967478 |
---|---|
Provider Name | Gina Arabitg |
First Address | Venice, FL 34285-2319 |
Second Address | Venice, FL 34285-2319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 27/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2393382620 | (05) | FL |
G35963 | (02) | |
P00122573 | RR MEDICARE (01) |