Provider Demographics
NPI:1205802410
Name:ARANGO, CARLOS ANTONIO (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:ANTONIO
Last Name:ARANGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 44008
Mailing Address - Street 2:UFJP PROVIDER ENROLLMENT
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32231-4008
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8274 BAYBERRY RD
Practice Address - Street 2:UFJP BAYMEADOWS PEDIATRICS
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-7470
Practice Address - Country:US
Practice Address - Phone:904-633-0800
Practice Address - Fax:904-633-0381
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME71717208000000X, 2080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2642026-00Medicaid
GA000947361AMedicaid
FL2642026-00Medicaid
GA000947361AMedicaid