Provider Demographics
NPI:1639253230
Name:ARONOFF, EDWARD
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:
Last Name:ARONOFF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 W BAKER ST
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-4309
Mailing Address - Country:US
Mailing Address - Phone:813-754-2273
Mailing Address - Fax:813-754-5680
Practice Address - Street 1:1215 W BAKER ST
Practice Address - Street 2:CARING CONCEPTS
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-4309
Practice Address - Country:US
Practice Address - Phone:813-754-2273
Practice Address - Fax:813-754-5680
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0001273111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH0001273OtherLIC NUMBER
FLCH0001273OtherLIC NUMBER
T85928Medicare UPIN