Provider Demographics
NPI:1215822440
Name:ARIAS DEL TORO, EDUARDO ANTOLIN (PROVIDER)
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:ANTOLIN
Last Name:ARIAS DEL TORO
Suffix:
Gender:M
Credentials:PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4119 SIMMS RD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33810-5418
Mailing Address - Country:US
Mailing Address - Phone:806-421-3502
Mailing Address - Fax:
Practice Address - Street 1:4119 SIMMS RD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33810-5418
Practice Address - Country:US
Practice Address - Phone:806-421-3502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide