Provider Demographics
NPI:1891809950
Name:ARANGO, DAVID (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:ARANGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23781 US HIGHWAY 27
Mailing Address - Street 2:SUITE 122
Mailing Address - City:LAKE WALES
Mailing Address - State:FL
Mailing Address - Zip Code:33859-7802
Mailing Address - Country:US
Mailing Address - Phone:863-324-6100
Mailing Address - Fax:863-679-9182
Practice Address - Street 1:1120 CARLTON AVE STE 1400
Practice Address - Street 2:
Practice Address - City:LAKE WALES
Practice Address - State:FL
Practice Address - Zip Code:33853-4347
Practice Address - Country:US
Practice Address - Phone:863-324-6100
Practice Address - Fax:863-679-9182
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME64942207XS0117X, 207XX0005X, 207X00000X
FLME0064942208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL112061300Medicaid
58251Medicare UPIN
FL23864PMedicare PIN
FL23864PMedicare PIN