Dalene Arizmendi
Individual provider Active NPI Physician Assistant · Ruskin, FL
NPI 1891596516 · NPPES record last updated Mar 19, 2025
Key facts
- NPI
- 1891596516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA9119621 (FL)
- Practice address
- 2413 Roanoke Springs Dr
Ruskin, FL 33570-6335 - Phone
- (224) 523-1310
- NPI assigned
- Mar 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9119621 | FL | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9119621 | FL | Yes |
Addresses
Primary practice location
2413 Roanoke Springs Dr
Ruskin, FL 33570-6335
Mailing address
2413 Roanoke Springs Dr
Ruskin, FL 33570-6335
Phone (224) 523-1310
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All providers in Ruskin, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.