Provider Demographics
NPI:1710515283
Name:MARGJONI, ARILDA (MD)
Entity Type:Individual
Prefix:
First Name:ARILDA
Middle Name:
Last Name:MARGJONI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1567 MEETING PL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6602
Mailing Address - Country:US
Mailing Address - Phone:352-871-3045
Mailing Address - Fax:407-305-0810
Practice Address - Street 1:1567 MEETING PL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6602
Practice Address - Country:US
Practice Address - Phone:352-871-3045
Practice Address - Fax:407-305-0810
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-31
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME160495207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program