Individual
AMAURY ARAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
7142 LAUREL LN, MIAMI LAKES, FL 33014-2664
(305) 463-6690
(305) 463-6693
Mailing address
PO BOX 5134, HIALEAH, FL 33014-1134
(305) 463-6690
(305) 463-6693
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9101047
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9101047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290740200
—
FL
01
—
Y00VV
BC BS OF FLORIDA
FL
Enumeration date
08/14/2006
Last updated
06/21/2013
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