Healthcare Provider Details

I. General information

NPI: 1144741851
Provider Name (Legal Business Name): STEVEN E ARNOLD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2017
Last Update Date: 10/17/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3890 TAMPA RD STE 202
PALM HARBOR FL
34684-3677
US

IV. Provider business mailing address

3890 TAMPA RD STE 202
PALM HARBOR FL
34684-3677
US

V. Phone/Fax

Practice location:
  • Phone: 727-787-5577
  • Fax:
Mailing address:
  • Phone: 727-787-5577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberME142371
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: