Provider Demographics
NPI:1366863599
Name:JOHN C ARENA CORP
Entity Type:Organization
Organization Name:JOHN C ARENA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:ARENA
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:954-336-7722
Mailing Address - Street 1:1007 N. FEDERAL HWY
Mailing Address - Street 2:#277
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304
Mailing Address - Country:US
Mailing Address - Phone:954-336-7722
Mailing Address - Fax:561-961-5899
Practice Address - Street 1:5458 TOWN CENTER ROAD
Practice Address - Street 2:#104
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486
Practice Address - Country:US
Practice Address - Phone:954-336-7722
Practice Address - Fax:561-961-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-13
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty