Provider Demographics
NPI:1013051630
Name:ARNOLD, AMY (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:5200 N FEDERAL HWY
Mailing Address - Street 2:SUITE 7
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-3253
Mailing Address - Country:US
Mailing Address - Phone:954-493-9494
Mailing Address - Fax:954-493-8434
Practice Address - Street 1:5200 N FEDERAL HWY
Practice Address - Street 2:SUITE 7
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3253
Practice Address - Country:US
Practice Address - Phone:954-493-9494
Practice Address - Fax:954-493-8434
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 71674208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery