BOBBY JOHN ARDILA PA-C NPI 1699737783

NPI Information

NPI: 1699737783
Provider Name: BOBBY JOHN ARDILA, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
410 CELEBRATION PL
SUITE 200
CELEBRATION, FL
ZIP 34747
Phone: (407) 303-4673
Get Directions

Bobby John Ardila, PA-C is a surgical physician assistant in Celebration, FL. Bobby John Ardila, PA-C NPI is 1699737783. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

410 CELEBRATION PL
SUITE 200
CELEBRATION, FL
ZIP 34747-433
Phone: (407) 303-4673
Fax: (407) 303-4674

The enumeration date for this NPI number is 4/4/2006 and was last updated on 4/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA9102779	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q20243	MEDICARE UPIN
2	U2896Y	MEDICARE PIN	FLORIDA
3	291863300	MEDICAID	FLORIDA
4	U2896X	MEDICARE PIN	FLORIDA
5	U2896W	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »