Basic Information
Provider Information
NPI: 1134594377
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARP
FirstName: ROSALIND
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ARP
OtherFirstName: ROSALIND JOAN
OtherMiddleName: NAVARRO
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 5
Mailing Information
Address1: 2501 N ORANGE AVE
Address2: SUITE 210
City: ORLANDO
State: FL
PostalCode: 328044603
CountryCode: US
TelephoneNumber: 4078989804
FaxNumber:  
Practice Location
Address1: 2501 N ORANGE AVE
Address2: SUITE 210
City: ORLANDO
State: FL
PostalCode: 328044603
CountryCode: US
TelephoneNumber: 4078989804
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/13/2015
LastUpdateDate: 11/06/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102XARNP9406823FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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