Bobby John Ardila in Celebration - Surgical

Bobby John Ardila - NPI 1699737783

Bobby John Ardila is a Surgical in Celebration, Florida. Bobby John Ardila practices all healthcare services and medical treatments related to Surgical. The NPI Number for Bobby John Ardila is 1699737783. The last update date is 2009-04-20.

Bobby John Ardila's current location address is 410 Celebration Pl, Celebration, Florida. You can contact this provider via phone number 4073034673 and fax number 4073034674. The mailing address for Bobby John Ardila is 410 Celebration Pl, Celebration, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Bobby John Ardila
Address 410 Celebration Pl, Celebration, Florida
Phone Number 4073034673
Fax Number 4073034674
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1699737783
Provider Enumeration Date 2006-04-04
Last Updated Date 2009-04-20

Provider Mailing Address Detail

Address 410 Celebration Pl
City Celebration
State Florida (FL)
Post Code 347475433
Phone Number 4073034673
Fax Number 4073034674

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA9102779
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
291863300 FL --

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FAQs about Bobby John Ardila

What is the unique 10-digit identification code assigned to Bobby John Ardila by the Centers for Medicare & Medicaid Services?

The Bobby John Ardila has been issued the NPI (National Provider Identifier) 1699737783, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Bobby John Ardila is located?

The Bobby John Ardila is situated at the following address: 410 Celebration Pl, Celebration, FL, 347475433.

What is Bobby John Ardila's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bobby John Ardila is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1699737783 to Bobby John Ardila?

The Bobby John Ardila received its 1699737783 assignment from the Centers for Medicare & Medicaid Services on 2006-04-04.

As of what date were the Bobby John Ardila's details last updated?

The information pertaining to the Bobby John Ardila, including its address, specialty, and other details, was most recently updated on 2009-04-20.

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