Healthcare Provider Details
I. General information
NPI: 1619938776
Provider Name (Legal Business Name): ARTHUR FINNIESTON INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/29/2006
Last Update Date: 04/08/2020
Certification Date: 04/08/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8353 SW 124TH ST STE 102
MIAMI FL
33156-5847
US
IV. Provider business mailing address
3901 PARK AVE
MIAMI FL
33133-6435
US
V. Phone/Fax
- Phone: 305-233-9195
- Fax: 305-233-9145
- Phone: 305-233-9195
- Fax: 305-233-9145
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | 5999803 |
| License Number State | FL |
VIII. Authorized Official
Name: MR.
ALAN
ROSS
FINNIESTON
Title or Position: PRESIDENT OWNER
Credential: CPO LPO
Phone: 305-233-9195