Provider Demographics
NPI:1881668572
Name:ARRA, MICHAEL J (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:ARRA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 N CONGRESS AVE
Mailing Address - Street 2:SUITE D 104
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-3316
Mailing Address - Country:US
Mailing Address - Phone:561-732-4661
Mailing Address - Fax:561-732-4662
Practice Address - Street 1:901 N CONGRESS AVE
Practice Address - Street 2:SUITE D 104
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3316
Practice Address - Country:US
Practice Address - Phone:561-732-4661
Practice Address - Fax:561-732-4662
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005849111N00000X
GA2800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL051151000Medicaid
FL051151000Medicaid
FL22459ZMedicare ID - Type Unspecified