Healthcare Provider Details

I. General information

NPI: 1568435600
Provider Name (Legal Business Name): JOSEPH J ARENA MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 08/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E HILLSBORO BLVD STE 210
DEERFIELD BEACH FL
33441
US

IV. Provider business mailing address

1500 E HILLSBORO BLVD STE 210
DEERFIELD BEACH FL
33441
US

V. Phone/Fax

Practice location:
  • Phone: 954-419-9632
  • Fax: 954-419-9634
Mailing address:
  • Phone: 954-419-9632
  • Fax: 954-419-9634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME00063427
License Number StateFL

VIII. Authorized Official

Name: MRS. CAROL GLORIA SCHOENBERG
Title or Position: BILLER
Credential:
Phone: 954-419-9632