MEDICARE: MR. ARTHUR THARPE POWELL PA-C

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	363AM0700X	Medical Physician Assistant	PA 9103014	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

General Provider Information

NPI Number	:	1174578884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARTHUR THARPE POWELL PA-C

Provider Business Mailing Address
First Line	:	3706 N ROOSEVELT BLVD STE C
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-4566
Country	:	US
Telephone Number	:	305-517-6613
Fax Number	:	305-517-6614

Provider Business Practice Location Address
First Line	:	3706 N ROOSEVELT BLVD STE G
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-4566
Country	:	US
Telephone Number	:	305-517-6613
Fax Number	:	305-517-6614

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	02/10/2026

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