Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CH0005938 | FL |
NPI | 1528192259 |
---|---|
Provider Name | Dr. Scott Arnold |
First Address | Pace, FL 32571-2001 |
Second Address | Pace, FL 32571-2001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 14/11/2007 |