Provider Demographics
NPI:1801553458
Name:ARZU, PATRICE
Entity type:Individual
Prefix:
First Name:PATRICE
Middle Name:
Last Name:ARZU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 OLIVE CONCH ST
Mailing Address - Street 2:
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33570-2086
Mailing Address - Country:US
Mailing Address - Phone:727-512-4356
Mailing Address - Fax:
Practice Address - Street 1:751 OLIVE CONCH ST
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33570-2086
Practice Address - Country:US
Practice Address - Phone:727-512-4356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5242351164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse