Healthcare Provider Details

I. General information

NPI: 1013968502
Provider Name (Legal Business Name): ARTURO A CID M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5599 N DIXIE HWY
OAKLAND PARK FL
33334-3406
US

IV. Provider business mailing address

360 VIA FIRENZA WAY
DAVIE FL
33325-6903
US

V. Phone/Fax

Practice location:
  • Phone: 954-229-7720
  • Fax:
Mailing address:
  • Phone: 954-229-7720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME65058
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: