Provider Demographics
NPI:1497192736
Name:ARRAZOLA HEALTH CENTER INC
Entity Type:Organization
Organization Name:ARRAZOLA HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:ARRAZOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-245-9222
Mailing Address - Street 1:13550 SW 88TH ST STE 280A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1654
Mailing Address - Country:US
Mailing Address - Phone:305-245-9222
Mailing Address - Fax:305-428-2602
Practice Address - Street 1:13550 SW 88TH ST STE 280A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1654
Practice Address - Country:US
Practice Address - Phone:305-245-9222
Practice Address - Fax:305-428-2602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-28
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME66843208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty