Provider Demographics
NPI:1821022138
Name:ARROWSMITH, DAVID RANKIN (MD PA)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RANKIN
Last Name:ARROWSMITH
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:SHALIMAR
Mailing Address - State:FL
Mailing Address - Zip Code:32579-1304
Mailing Address - Country:US
Mailing Address - Phone:850-651-3376
Mailing Address - Fax:850-651-3372
Practice Address - Street 1:11 10TH AVE
Practice Address - Street 2:
Practice Address - City:SHALIMAR
Practice Address - State:FL
Practice Address - Zip Code:32579-1304
Practice Address - Country:US
Practice Address - Phone:850-651-3376
Practice Address - Fax:850-651-3372
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME23325207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0004325645OtherAETNA
FL46082OtherBLUE CROSS
D54937Medicare UPIN
FL46082Medicare ID - Type Unspecified