Individual
ARUNACHALAM JOTHIVIJAYARANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4216 CORTEZ RD W, BRADENTON, FL 34210-3121
(941) 500-3100
(941) 500-3113
Mailing address
4216 CORTEZ RD W, BRADENTON, FL 34210-3121
(941) 527-9929
(941) 500-3113
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME93841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09124
UNIVERSAL
FL
05
—
113522800
—
FL
01
—
2209708
UNITED HEALTHCARE
FL
05
—
273149500
—
FL
01
—
29211
BCBS
FL
01
—
296991
AMERIGROUP
FL
01
—
306370
WELLCARE
FL
Enumeration date
03/11/2006
Last updated
04/12/2023
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