Individual
IVAN DAVID ARVELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 VIOLA ST, KISSIMMEE, FL 34741-5540
(484) 929-7663
Mailing address
108 VIOLA ST, KISSIMMEE, FL 34741-5540
(484) 929-7663
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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