Provider Demographics
NPI:1811229883
Name:ORLICK, ARNOLD HENRY (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:HENRY
Last Name:ORLICK
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 1:7881 9TH AVE S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33707-2730
Mailing Address - Country:US
Mailing Address - Phone:727-480-2639
Mailing Address - Fax:
Practice Address - Street 1:7881 9TH AVE S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-2730
Practice Address - Country:US
Practice Address - Phone:727-480-2639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 8448174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL52408Medicare PIN