Provider Demographics
NPI:1700486552
Name:ARROW MEDICAL LLC
Entity type:Organization
Organization Name:ARROW MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:802-310-1671
Mailing Address - Street 1:3524 TAMIAMI TRL STE 104
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-8155
Mailing Address - Country:US
Mailing Address - Phone:941-889-7351
Mailing Address - Fax:
Practice Address - Street 1:3524 TAMIAMI TRL STE 104
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-8155
Practice Address - Country:US
Practice Address - Phone:941-889-7351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-30
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies