1851497838 NPI number — ARAN EYE ASSOCIATES PA

Table of content: (NPI 1851497838)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851497838 NPI number — ARAN EYE ASSOCIATES PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARAN EYE ASSOCIATES PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851497838
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/13/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
951 S LE JEUNE RD
Provider Second Line Business Mailing Address:
SUITE 200, ADMINISTRATION
Provider Business Mailing Address City Name:
CORAL GABLES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33134-2616
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-442-2021
Provider Business Mailing Address Fax Number:
305-442-1498

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14201 W SUNRISE BLVD
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
SUNRISE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33323-3207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-838-1382
Provider Business Practice Location Address Fax Number:
954-838-9378
Provider Enumeration Date:
09/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ARAN
Authorized Official First Name:
ALBERTO
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRESIDENT MEDICAL DIRECTOR
Authorized Official Telephone Number:
305-442-2021

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 052584700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 052584707 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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