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NPI Code Detail

MEDICARE: ANTHONY DANIEL ARNOLD A.T.C., L. A. T.

MEDICARE:   ANTHONY DANIEL ARNOLD  A.T.C., L. A. 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
12255A2300XAthletic TrainerAL2234FL

General Provider Information

NPI Number : 1689952350
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY DANIEL ARNOLD A.T.C., L. A. T.
Provider Business Mailing Address
First Line : 25 TULA DR
Second Line :
City : PORT ORANGE
State : FL
Zip : 32129-3651
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3127 W INTERNATIONAL SPEEDWAY BLVD
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32124-1070
Country : US
Telephone Number : 386-258-9502
Fax Number : 386-239-9781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2011
Last Update Date : 07/29/2011

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Directions to “ ANTHONY DANIEL ARNOLD A.T.C., L. A. T.” Practice Location

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