Provider Demographics
NPI:1619938776
Name:ARTHUR FINNIESTON INC
Entity Type:Organization
Organization Name:ARTHUR FINNIESTON INC
Other - Org Name:ARTHUR FINNIESTON CLINIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:FINNIESTON
Authorized Official - Suffix:
Authorized Official - Credentials:CPO LPO
Authorized Official - Phone:305-233-9195
Mailing Address - Street 1:3901 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6435
Mailing Address - Country:US
Mailing Address - Phone:305-233-9195
Mailing Address - Fax:305-233-9145
Practice Address - Street 1:8353 SW 124TH ST
Practice Address - Street 2:STE 102
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-5847
Practice Address - Country:US
Practice Address - Phone:305-233-9195
Practice Address - Fax:305-233-9145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5999803335E00000X
335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL027668500Medicaid