Provider Demographics
NPI:1033135470
Name:ARANGORIN, GENE R (MD)
Entity type:Individual
Prefix:DR
First Name:GENE
Middle Name:R
Last Name:ARANGORIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10125 W COLONIAL DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4211
Mailing Address - Country:US
Mailing Address - Phone:407-523-7666
Mailing Address - Fax:407-523-7699
Practice Address - Street 1:10125 W COLONIAL DR
Practice Address - Street 2:SUITE 206
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4211
Practice Address - Country:US
Practice Address - Phone:407-523-7666
Practice Address - Fax:407-523-7699
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME71484207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL253217400Medicaid
FL253217400Medicaid
FLG43009Medicare UPIN