Provider Demographics
NPI:1043219702
Name:NAVARRO, ARMANDO (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:
Last Name:NAVARRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 JACARANDA BLVD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-4520
Mailing Address - Country:US
Mailing Address - Phone:941-492-2212
Mailing Address - Fax:941-496-9307
Practice Address - Street 1:1211 JACARANDA BLVD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-4520
Practice Address - Country:US
Practice Address - Phone:941-492-2212
Practice Address - Fax:941-496-9307
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME28168207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5503518001OtherCIGNA I.D. #
FL1316849OtherUNITED HEALTH CARE #
FL58280YOtherMEDICARE PIN #
FL068196200Medicaid
FL5503518001OtherCIGNA I.D. #
FL068196200Medicaid