Provider Demographics
NPI:1619101573
Name:MILARN CORPORATION
Entity Type:Organization
Organization Name:MILARN CORPORATION
Other - Org Name:ARNOLD PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:ATWOOD
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:321-258-4521
Mailing Address - Street 1:PO BOX 541813
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32954-1813
Mailing Address - Country:US
Mailing Address - Phone:321-514-0150
Mailing Address - Fax:
Practice Address - Street 1:1395 N COURTENAY PKWY
Practice Address - Street 2:SUITE 207
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32953-4400
Practice Address - Country:US
Practice Address - Phone:321-514-0150
Practice Address - Fax:321-986-9848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67328261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care