Provider Demographics
NPI:1245203389
Name:ARNE, ELMER THOMAS JR (DO)
Entity type:Individual
Prefix:DR
First Name:ELMER
Middle Name:THOMAS
Last Name:ARNE
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1250 S TAMIAMI TRL STE 401
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2221
Mailing Address - Country:US
Mailing Address - Phone:941-366-2194
Mailing Address - Fax:877-620-5910
Practice Address - Street 1:1250 S TAMIAMI TRL STE 401
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2221
Practice Address - Country:US
Practice Address - Phone:941-366-2194
Practice Address - Fax:941-366-7025
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-09
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7384207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL266462300Medicaid
FL266462300Medicaid
FL57562XMedicare ID - Type Unspecified
FL57562RMedicare UPIN