Provider Demographics
NPI:1386823284
Name:ARAD ORTHOPAEDICS
Entity Type:Organization
Organization Name:ARAD ORTHOPAEDICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-933-9440
Mailing Address - Street 1:20601 E DIXIE HWY
Mailing Address - Street 2:SUITE 410
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1540
Mailing Address - Country:US
Mailing Address - Phone:305-933-9440
Mailing Address - Fax:305-933-9424
Practice Address - Street 1:20601 E DIXIE HWY
Practice Address - Street 2:SUITE 410
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1540
Practice Address - Country:US
Practice Address - Phone:305-933-9440
Practice Address - Fax:305-933-9424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL33482174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4842Medicare PIN