Healthcare Provider Details

I. General information

NPI: 1548246739
Provider Name (Legal Business Name): ARTHUR STEMBER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2005
Last Update Date: 09/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 5TH AVE
INDIALANTIC FL
32903-4280
US

IV. Provider business mailing address

408 5TH AVE
INDIALANTIC FL
32903-4280
US

V. Phone/Fax

Practice location:
  • Phone: 321-724-9900
  • Fax: 321-724-6609
Mailing address:
  • Phone: 321-724-9900
  • Fax: 321-724-6609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME63923
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: