MEDICARE: ANTONIOS ARNAOUTIS P.T.

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	225100000X	Physical Therapist	PT13031	FL

General Provider Information

NPI Number	:	1285813295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTONIOS ARNAOUTIS P.T.

Provider Business Mailing Address
First Line	:	160 S BEACH ST
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32114-4408
Country	:	US
Telephone Number	:	386-252-2400
Fax Number	:	386-252-2414

Provider Business Practice Location Address
First Line	:	160 S BEACH ST
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32114-4408
Country	:	US
Telephone Number	:	386-252-2400
Fax Number	:	386-252-2414

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

Provider Enumeration Date	:	10/25/2007
Last Update Date	:	11/15/2016

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