Provider Demographics
NPI:1063403889
Name:ARRASCUE, JOSE F (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:F
Last Name:ARRASCUE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5503 S CONGRESS AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6614
Mailing Address - Country:US
Mailing Address - Phone:561-965-7228
Mailing Address - Fax:561-965-5889
Practice Address - Street 1:5503 S CONGRESS AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-6614
Practice Address - Country:US
Practice Address - Phone:561-965-7228
Practice Address - Fax:561-965-5889
Is Sole Proprietor?:No
Enumeration Date:2005-11-01
Last Update Date:2015-12-29
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Provider Licenses
StateLicense IDTaxonomies
FLME36149174400000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL039159000Medicaid
FL50972OtherBLUE CROSS BLUE SHIELD
FL390001873OtherRR MEDICARE
FL039159000Medicaid
FLD85893Medicare UPIN