Healthcare Provider Details

I. General information

NPI: 1659259679
Provider Name (Legal Business Name): MICHAEL ANTHONY ARCE PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 W 20TH AVE STE G176
HIALEAH FL
33016-1875
US

IV. Provider business mailing address

PO BOX 39626
BELFAST ME
04915-1250
US

V. Phone/Fax

Practice location:
  • Phone: 786-475-1985
  • Fax: 786-475-2854
Mailing address:
  • Phone: 305-820-6657
  • Fax: 305-820-6658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9120662
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA9120662
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: