MEDICARE: ARTHUR L. HALL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME45648	FL
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	ME45648	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	101851	OTHER	FL	AVMED ID #
4	05545	OTHER	FL	BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093717613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR L. HALL M.D.

Provider Business Mailing Address
First Line	:	550 E STATE ROAD
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32750
Country	:	US
Telephone Number	:	407-262-5710
Fax Number	:	407-262-5796

Provider Business Practice Location Address
First Line	:	9964 UNIVERSITY BOULEVARD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817
Country	:	US
Telephone Number	:	407-261-2956
Fax Number	:	407-657-0719

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	12/29/2009

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Directions to “ ARTHUR L. HALL M.D.” Practice Location

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