Provider Demographics
NPI:1013556380
Name:DONALDSON, ARLAND
Entity Type:Individual
Prefix:
First Name:ARLAND
Middle Name:
Last Name:DONALDSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 W MICHIGAN ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-6123
Mailing Address - Country:US
Mailing Address - Phone:407-875-3700
Mailing Address - Fax:407-245-0307
Practice Address - Street 1:1405 W MICHIGAN ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-6123
Practice Address - Country:US
Practice Address - Phone:407-875-3700
Practice Address - Fax:407-245-0307
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator