Provider Demographics
NPI:1477195410
Name:ARABOV, ANNE (AP, DOM)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:ARABOV
Suffix:
Gender:F
Credentials:AP, DOM
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:RUBINOV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AP, DOM
Mailing Address - Street 1:1870 NE 208TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-2263
Mailing Address - Country:US
Mailing Address - Phone:305-319-0238
Mailing Address - Fax:
Practice Address - Street 1:17971 BISCAYNE BLVD STE 110
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-2531
Practice Address - Country:US
Practice Address - Phone:305-319-0238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-10
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4099171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist