Provider Demographics
NPI:1124662796
Name:ANNE ARABOV
Entity type:Organization
Organization Name:ANNE ARABOV
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNTURIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARABOV
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:305-319-0238
Mailing Address - Street 1:1870 NE 208TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-2263
Mailing Address - Country:US
Mailing Address - Phone:305-319-0238
Mailing Address - Fax:
Practice Address - Street 1:17971 BISCAYNE BLVD STE 110
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-2531
Practice Address - Country:US
Practice Address - Phone:305-319-0238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-06
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1477195410OtherNPI TYPE 1