Provider Demographics
NPI: | 1225424369 |
---|---|
Name: | ARNOLD, FLORENCE |
Entity Type: | Individual |
Prefix: | |
First Name: | FLORENCE |
Middle Name: | |
Last Name: | ARNOLD |
Suffix: | |
Gender: | F |
Credentials: | |
Other - Prefix: | |
Other - First Name: | FLORENCE PILAR |
Other - Middle Name: | |
Other - Last Name: | PLAZA |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | MD |
Mailing Address - Street 1: | PO BOX 25487 |
Mailing Address - Street 2: | |
Mailing Address - City: | SARASOTA |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 34277-2487 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 941-202-5342 |
Mailing Address - Fax: | 855-253-4836 |
Practice Address - Street 1: | 3830 BEE RIDGE RD STE 301 |
Practice Address - Street 2: | |
Practice Address - City: | SARASOTA |
Practice Address - State: | FL |
Practice Address - Zip Code: | 34233 |
Practice Address - Country: | US |
Practice Address - Phone: | 941-923-1872 |
Practice Address - Fax: | 941-923-3947 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2015-04-15 |
Last Update Date: | 2019-03-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | 278825 | 207RX0202X |
FL | ME138549 | 207RX0202X, 207RH0003X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No | 207RX0202X | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
FL | DJVE8 | Other | FLORIDA BLUE |