Provider Demographics
NPI:1427026574
Name:ARBOLEDA, ELIZABETH MARJORIE (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARJORIE
Last Name:ARBOLEDA
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 1:2415 FLINT LOCK DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-1726
Mailing Address - Country:US
Mailing Address - Phone:727-791-8073
Mailing Address - Fax:
Practice Address - Street 1:310 N MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33755-4431
Practice Address - Country:US
Practice Address - Phone:727-469-5800
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83231208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH60713Medicare UPIN