Provider Demographics
NPI:1487834230
Name:ARSENIO COLUMBIE MD PA
Entity Type:Organization
Organization Name:ARSENIO COLUMBIE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ARSENIO
Authorized Official - Middle Name:
Authorized Official - Last Name:COLUMBIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-220-4210
Mailing Address - Street 1:1330 SW 152ND PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33194-2690
Mailing Address - Country:US
Mailing Address - Phone:786-514-4242
Mailing Address - Fax:305-702-9442
Practice Address - Street 1:1330 SW 152ND PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33194-2690
Practice Address - Country:US
Practice Address - Phone:786-514-4242
Practice Address - Fax:305-551-2015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93474207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI42382Medicare UPIN