Healthcare Provider Details

I. General information

NPI: 1275527038
Provider Name (Legal Business Name): ARNOLD VERA M.D., M.SC., F.A.C.E
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 10/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1667 N CLYDE MORRIS BLVD SUITE 2
DAYTONA BEACH FL
32117-5500
US

IV. Provider business mailing address

PO BOX 741240
ORANGE CITY FL
32774-1240
US

V. Phone/Fax

Practice location:
  • Phone: 386-274-1414
  • Fax: 386-274-2215
Mailing address:
  • Phone: 386-774-5211
  • Fax: 386-774-5251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME76414
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: