Provider Demographics
NPI:1356406383
Name:ARTHUR, DANETTE (MD)
Entity type:Individual
Prefix:DR
First Name:DANETTE
Middle Name:
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4302 HOLLYWOOD BLVD # 125
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6635
Mailing Address - Country:US
Mailing Address - Phone:954-923-7333
Mailing Address - Fax:954-923-7722
Practice Address - Street 1:2632 HOLLYWOOD BLVD
Practice Address - Street 2:305
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-4847
Practice Address - Country:US
Practice Address - Phone:954-923-7333
Practice Address - Fax:954-923-7722
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0053829207R00000X, 207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine