MEDICARE: DR. DANETTE ARTHUR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME0053829	FL
2	207RA0401X	Addiction Medicine (Internal Medicine) Physician	ME0053829	FL

General Provider Information

NPI Number	:	1356406383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANETTE ARTHUR MD

Provider Business Mailing Address
First Line	:	4302 HOLLYWOOD BLVD # 125
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6635
Country	:	US
Telephone Number	:	954-923-7333
Fax Number	:	954-923-7722

Provider Business Practice Location Address
First Line	:	2632 HOLLYWOOD BLVD
Second Line	:	305
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4847
Country	:	US
Telephone Number	:	954-923-7333
Fax Number	:	954-923-7722

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	02/18/2020

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