Individual
ARIF ISHMAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
509 SE RIVERSIDE DR STE 303, STUART, FL 34994-2579
(772) 283-9111
(772) 283-2955
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 283-2955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN15197
FL
207RG0100X
Gastroenterology Physician
Primary
ME117464
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14Z1Y
FLORIDA BLUE
FL
Enumeration date
06/10/2010
Last updated
10/14/2020
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