Provider Demographics
NPI:1184905424
Name:GENTLES, ARLETTE
Entity type:Individual
Prefix:MS
First Name:ARLETTE
Middle Name:
Last Name:GENTLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 NE 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-5331
Mailing Address - Country:US
Mailing Address - Phone:352-433-9528
Mailing Address - Fax:352-484-0807
Practice Address - Street 1:512 NE 9TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-5331
Practice Address - Country:US
Practice Address - Phone:352-433-9528
Practice Address - Fax:352-484-0807
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator