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NPI Code Detail

MEDICARE: MARY ARNDT

MEDICARE: MARY ARNDT
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
12085R0202XDiagnostic Radiology PhysicianOS20756FL

General Provider Information

NPI Number : 1699415646
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ARNDT
Provider Business Mailing Address
First Line : 119 OAKFIELD DR
Second Line :
City : BRANDON
State : FL
Zip : 33511-5779
Country : US
Telephone Number : 813-916-2348
Fax Number :
Provider Business Practice Location Address
First Line : 119 OAKFIELD DR
Second Line :
City : BRANDON
State : FL
Zip : 33511-5779
Country : US
Telephone Number : 813-916-2348
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2022
Last Update Date : 03/16/2026

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Directions to “ MARY ARNDT ” Practice Location

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