Provider Demographics
NPI:1225039829
Name:ARNOLD SURGICAL ASSOCIATES,M.D., P.A.
Entity Type:Organization
Organization Name:ARNOLD SURGICAL ASSOCIATES,M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-839-3340
Mailing Address - Street 1:70 W GORE ST
Mailing Address - Street 2:STE 202
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1124
Mailing Address - Country:US
Mailing Address - Phone:407-839-3340
Mailing Address - Fax:407-244-8560
Practice Address - Street 1:70 W GORE ST
Practice Address - Street 2:STE 202
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1124
Practice Address - Country:US
Practice Address - Phone:407-839-3340
Practice Address - Fax:407-244-8560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 30499208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274751OtherAVMED
FL47644OtherBCBS
FL4008273OtherAETNA
FL274751OtherAVMED
FL4008273OtherAETNA