Provider Demographics
NPI:1114967478
Name:ARABITG, GINA (MD)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:ARABITG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 NOKOMIS AVE S
Mailing Address - Street 2:SUITE A
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-2319
Mailing Address - Country:US
Mailing Address - Phone:941-485-9941
Mailing Address - Fax:941-485-2673
Practice Address - Street 1:241 NOKOMIS AVE S
Practice Address - Street 2:SUITE A
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-2319
Practice Address - Country:US
Practice Address - Phone:941-485-9941
Practice Address - Fax:941-485-2673
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME69820207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2393382620Medicaid
P00122573OtherRR MEDICARE
G35963Medicare UPIN
FL2393382620Medicaid