Healthcare Provider Details

I. General information

NPI: 1629009980
Provider Name (Legal Business Name): ARNOLD NEEDLEMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 03/07/2023
Certification Date: 12/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9030 KIMBERLY BLVD
BOCA RATON FL
33434-2823
US

IV. Provider business mailing address

6101 BLUE LAGOON DR STE 400
MIAMI FL
33126-2051
US

V. Phone/Fax

Practice location:
  • Phone: 561-488-2300
  • Fax: 305-461-5911
Mailing address:
  • Phone: 305-500-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME0041445
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: