MEDICARE: DR. PAUL MICHAEL ARNOLD 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	208800000X	Urology Physician	01085455A	IN
2	208800000X	Urology Physician	ME86738	FL

General Provider Information

NPI Number	:	1841294501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL MICHAEL ARNOLD M.D.

Provider Business Mailing Address
First Line	:	2217 NORTH BLVD W
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-8990
Country	:	US
Telephone Number	:	863-421-3456
Fax Number	:	863-421-3466

Provider Business Practice Location Address
First Line	:	2217 NORTH BLVD W
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-8990
Country	:	US
Telephone Number	:	863-421-3456
Fax Number	:	863-421-3466

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

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	03/07/2022

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