Healthcare Provider Details

I. General information

NPI: 1821077405
Provider Name (Legal Business Name): ARNOLD J SCHULTE JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 ARIANA AVE HEALTH WORKS
AUBURNDALE FL
33823
US

IV. Provider business mailing address

134 ARIANA AVE HEALTH WORKS
AUBURNDALE FL
33823
US

V. Phone/Fax

Practice location:
  • Phone: 863-292-4382
  • Fax: 863-292-4385
Mailing address:
  • Phone: 863-292-4382
  • Fax: 863-292-4385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME20405
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: