Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 20020193 | NM |
NPI | 1053426783 |
---|---|
Provider Name | Miguel Araneo |
First Address | Lake Worth, FL 33462-1304 |
Second Address | Lake Worth, FL 33461-4761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 16/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
25526332 | (05) | NM |
278750400 | (05) | FL |
H63404 | (02) |