Provider Demographics
NPI:1255387122
Name:STONE, ARTHUR F JR (ARNP, CRNA)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:F
Last Name:STONE
Suffix:JR
Gender:M
Credentials:ARNP, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15473 NW BODIFORD RD
Mailing Address - Street 2:
Mailing Address - City:ALTHA
Mailing Address - State:FL
Mailing Address - Zip Code:32421-2801
Mailing Address - Country:US
Mailing Address - Phone:850-718-3338
Mailing Address - Fax:
Practice Address - Street 1:15473 NW BODIFORD RD
Practice Address - Street 2:
Practice Address - City:ALTHA
Practice Address - State:FL
Practice Address - Zip Code:32421-2801
Practice Address - Country:US
Practice Address - Phone:850-718-3338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9173542367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG3761AMedicare ID - Type Unspecified