Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 293514 | NY |
N | 111NI0900X | Internist | 293514 | NY |
N | 207R00000X | Internist | ME145367 | FL |
N | 111NI0900X | Internist | ME145367 | FL |
Y | 207RG0300X | Geriatric Medicine | ME145367 | FL |
NPI | 1003298779 |
---|---|
Provider Name | Amy Reyes Arnaldy |
First Address | Tavares, FL 32778-5745 |
Second Address | Tavares, FL 32778-5745 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2015 |
Last Update Date | 19/08/2020 |