Provider Demographics
NPI:1841277159
Name:ARSOV, MILIMIR D (MD)
Entity type:Individual
Prefix:
First Name:MILIMIR
Middle Name:D
Last Name:ARSOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MIKE
Other - Middle Name:
Other - Last Name:ARSOV
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:908 W MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4117
Mailing Address - Country:US
Mailing Address - Phone:407-933-0900
Mailing Address - Fax:407-933-4774
Practice Address - Street 1:908 W MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4117
Practice Address - Country:US
Practice Address - Phone:407-933-0900
Practice Address - Fax:407-933-4774
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-28
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0066144207R00000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
216832OtherAMERIGROUP
0550604OtherCIGNA HEALTH INSURANCE
060050546OtherRAILROAD MEDICARE
25545OtherBCBS
296180OtherAVMED
FL376829500Medicaid
456357OtherAETNA HMO
NY02554089Medicaid
06919OtherWELLCARE
06919OtherSTAYWELL MCD
6005106OtherGHI
656141OtherAETNA PPO
F54923Medicare UPIN