Provider Demographics
NPI:1205882354
Name:ARRON, BRETT L (MD)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:L
Last Name:ARRON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3125 WATERWAY PL
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32128-7249
Mailing Address - Country:US
Mailing Address - Phone:401-338-1961
Mailing Address - Fax:
Practice Address - Street 1:1600 SE 17TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4606
Practice Address - Country:US
Practice Address - Phone:615-240-3720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME139000207R00000X, 207L00000X
RIRI8492207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI007010505Medicare ID - Type UnspecifiedPROVIDER NUMBER
RIB61821Medicare UPIN