Healthcare Provider Details

I. General information

NPI: 1376240366
Provider Name (Legal Business Name): ARCADIA MEDICAL ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2023
Last Update Date: 02/10/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 N MILLS AVE
ARCADIA FL
34266-8780
US

IV. Provider business mailing address

425 NURSING HOME DR
ARCADIA FL
34266-3839
US

V. Phone/Fax

Practice location:
  • Phone: 941-741-2030
  • Fax:
Mailing address:
  • Phone: 863-993-2966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WAEL ALOKEH
Title or Position: CEO
Credential:
Phone: 863-993-2966