MEDICARE: STEPHEN ARNDT 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	207X00000X	Orthopaedic Surgery Physician	036127532	IL
2	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	036127532	IL

General Provider Information

NPI Number	:	1346301322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN ARNDT M.D.

Provider Business Mailing Address
First Line	:	6800 SOUTHPOINT PKWY STE 300
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-8203
Country	:	US
Telephone Number	:	904-634-0640
Fax Number	:	904-634-0203

Provider Business Practice Location Address
First Line	:	2627 RIVERSIDE AVE STE 300
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-4717
Country	:	US
Telephone Number	:	904-634-0640
Fax Number	:	904-634-0203

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

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	07/15/2021

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