Provider Demographics
NPI:1548246739
Name:STEMBER, ARTHUR (MD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:STEMBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:INDIALANTIC
Mailing Address - State:FL
Mailing Address - Zip Code:32903-4280
Mailing Address - Country:US
Mailing Address - Phone:321-724-9900
Mailing Address - Fax:321-724-6609
Practice Address - Street 1:408 5TH AVE
Practice Address - Street 2:
Practice Address - City:INDIALANTIC
Practice Address - State:FL
Practice Address - Zip Code:32903-4280
Practice Address - Country:US
Practice Address - Phone:321-724-9900
Practice Address - Fax:321-724-6609
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME63923208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL373014000Medicaid
FL7040299006OtherCIGNA
FL4319304OtherAETNA
FL26963OtherWELLCARE
FL18876OtherBLUE CROSS BLUE SHIELD
FL010061333OtherRAILROAD MEDICARE
FL2100394OtherAETNA
FL26963OtherWELLCARE
FL18876XMedicare PIN