Provider Demographics
NPI:1326032954
Name:ARCIOLA, ANTHONY J (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:J
Last Name:ARCIOLA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6801 US 27 N
Mailing Address - Street 2:SUITE C2
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-7840
Mailing Address - Country:US
Mailing Address - Phone:863-382-0333
Mailing Address - Fax:863-382-8777
Practice Address - Street 1:6801 US 27 N
Practice Address - Street 2:SUITE C2
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-7840
Practice Address - Country:US
Practice Address - Phone:863-382-0333
Practice Address - Fax:863-382-8777
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-09
Last Update Date:2016-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME49361208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL01458OtherBCBS
FL270564800Medicaid
FL270564800Medicaid
FL01458OtherBCBS