Provider Demographics
NPI:1609244136
Name:ARBOR MEDICAL GROUP, PLLC
Entity Type:Organization
Organization Name:ARBOR MEDICAL GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SUMANTH
Authorized Official - Middle Name:
Authorized Official - Last Name:PADMANABH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-326-8081
Mailing Address - Street 1:1950 LAUREL MANOR DR
Mailing Address - Street 2:BUILDING 200, SUITE 206
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-5603
Mailing Address - Country:US
Mailing Address - Phone:352-326-8081
Mailing Address - Fax:352-326-5084
Practice Address - Street 1:1950 LAUREL MANOR DR
Practice Address - Street 2:BUILDING 200, SUITE 206
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-5603
Practice Address - Country:US
Practice Address - Phone:352-326-8081
Practice Address - Fax:352-326-5084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty