Healthcare Provider Details

I. General information

NPI: 1750641908
Provider Name (Legal Business Name): ARTHUR L. NADDELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2012
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 NE 22ND AVE
FT LAUDERDALE FL
33308-5624
US

IV. Provider business mailing address

4000 NE 22ND AVE
FT. LAUDERDALE FL
33308
US

V. Phone/Fax

Practice location:
  • Phone: 954-566-2179
  • Fax:
Mailing address:
  • Phone: 954-566-2179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number091026-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: