Individual
DR. ARNOLD VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.SC., F.A.C.E
Contact information
Practice address
1667 N CLYDE MORRIS BLVD, SUITE 2, DAYTONA BEACH, FL 32117-5500
(386) 274-1414
(386) 274-2215
Mailing address
PO BOX 741240, ORANGE CITY, FL 32774-1240
(386) 774-5211
(386) 774-5251
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME76414
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255756800
—
FL
01
—
460003036
RAILROAD MEDICARE
FL
01
—
46238
BLUE CROSS BLUE SHIELD
FL
01
—
59-3622303
TAX ID
—
01
—
DE7637
RAILROAD MEDICARE
FL
Enumeration date
09/08/2005
Last updated
10/28/2008
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