Healthcare Provider Details

I. General information

NPI: 1396447397
Provider Name (Legal Business Name): BRENT RIGEL ARCAYAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

942 E NORVELL BRYANT HWY
HERNANDO FL
34442-2826
US

IV. Provider business mailing address

942 E NORVELL BRYANT HWY
HERNANDO FL
34442-2826
US

V. Phone/Fax

Practice location:
  • Phone: 352-419-8924
  • Fax: 352-419-8927
Mailing address:
  • Phone: 352-419-8924
  • Fax: 352-419-8927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME183836
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: