Healthcare Provider Details

I. General information

NPI: 1083213847
Provider Name (Legal Business Name): CAROLINA ARCE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2020
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1408 NW 6TH STREET
GAINESVILLE FL
32601-7020
US

IV. Provider business mailing address

1408 NW 6TH STREET
GAINESVILLE FL
32601-7020
US

V. Phone/Fax

Practice location:
  • Phone: 352-373-4411
  • Fax: 352-373-4455
Mailing address:
  • Phone: 352-373-4411
  • Fax: 352-373-4455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number9120667
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: