Provider Demographics
NPI:1568427649
Name:AGATSTON, ARTHUR STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:STEPHEN
Last Name:AGATSTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2549 SUNSET DRIVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140
Mailing Address - Country:US
Mailing Address - Phone:305-531-2626
Mailing Address - Fax:
Practice Address - Street 1:1691 MICHIGAN AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2520
Practice Address - Country:US
Practice Address - Phone:305-538-3828
Practice Address - Fax:305-538-1979
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME34856207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD63391Medicare UPIN