Provider Demographics
NPI:1124200605
Name:ARCALAS, GLORIA (CSA)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:
Last Name:ARCALAS
Suffix:
Gender:F
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 222064
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33422
Mailing Address - Country:US
Mailing Address - Phone:561-215-1887
Mailing Address - Fax:
Practice Address - Street 1:252 PALMETTO COURT
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33422
Practice Address - Country:US
Practice Address - Phone:561-215-1887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical