Provider Demographics
NPI:1659967180
Name:COLUMBIE ARBONA, VICTOR HUGO (ARNP)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:HUGO
Last Name:COLUMBIE ARBONA
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:MR
Other - First Name:VICTOR
Other - Middle Name:HUGO
Other - Last Name:COLUMBIE ARBONA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:502 E HINSON AVE
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-5240
Mailing Address - Country:US
Mailing Address - Phone:863-438-7911
Mailing Address - Fax:
Practice Address - Street 1:502 E HINSON AVE
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-5240
Practice Address - Country:US
Practice Address - Phone:863-438-7911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-18
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11010545363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily