Provider Demographics
NPI:1528477254
Name:NEGRON, ARVENY DAMARIS (PA)
Entity type:Individual
Prefix:
First Name:ARVENY
Middle Name:DAMARIS
Last Name:NEGRON
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 1:4411 SWIFT CIR
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-7278
Mailing Address - Country:US
Mailing Address - Phone:908-500-5607
Mailing Address - Fax:
Practice Address - Street 1:4411 SWIFT CIR
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33596-7278
Practice Address - Country:US
Practice Address - Phone:908-500-5607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9110939363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical