Provider Demographics
NPI:1255396784
Name:ARAD, RONNIE (MD)
Entity type:Individual
Prefix:DR
First Name:RONNIE
Middle Name:
Last Name:ARAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:20601 E DIXIE HWY
Mailing Address - Street 2:410
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1540
Mailing Address - Country:US
Mailing Address - Phone:305-933-9440
Mailing Address - Fax:305-933-9424
Practice Address - Street 1:20601 E DIXIE HWY
Practice Address - Street 2:410
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1540
Practice Address - Country:US
Practice Address - Phone:305-933-9440
Practice Address - Fax:305-933-9424
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME33482207X00000X, 207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL79456BMedicare PIN