Provider Demographics
NPI:1316264690
Name:ARANGO, MARIA BEATRIZ (PA)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:BEATRIZ
Last Name:ARANGO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 LUCERNE TER
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1017
Mailing Address - Country:US
Mailing Address - Phone:407-316-8898
Mailing Address - Fax:407-540-0773
Practice Address - Street 1:1106 LUCERNE TER
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1017
Practice Address - Country:US
Practice Address - Phone:407-316-8898
Practice Address - Fax:407-540-0773
Is Sole Proprietor?:No
Enumeration Date:2010-04-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9100399363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPA9100399OtherSTATE PRESCRIBING LICENSE