Healthcare Provider Details

I. General information

NPI: 1710905187
Provider Name (Legal Business Name): DAVID J ARNOLD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 02/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1666 NW 10 AVE
MIAMI FL
33136
US

IV. Provider business mailing address

1666 NW 10 AVE BOX 016960 (M851)
MIAMI FL
33136
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-5224
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License NumberME67918
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: