Provider Demographics
NPI:1124293238
Name:ARCAND FAMILY PRACTICE LLC
Entity type:Organization
Organization Name:ARCAND FAMILY PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:ARCAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-255-7334
Mailing Address - Street 1:8055 SPYGLASS HILL RD STE 103
Mailing Address - Street 2:
Mailing Address - City:VIERA
Mailing Address - State:FL
Mailing Address - Zip Code:32940-8564
Mailing Address - Country:US
Mailing Address - Phone:321-255-7334
Mailing Address - Fax:321-255-7336
Practice Address - Street 1:8055 SPYGLASS HILL RD STE 103
Practice Address - Street 2:
Practice Address - City:VIERA
Practice Address - State:FL
Practice Address - Zip Code:32940-8564
Practice Address - Country:US
Practice Address - Phone:321-255-7334
Practice Address - Fax:321-255-7336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9N2PJOtherFLORIDA BLUE