Provider Demographics
NPI:1194904995
Name:DR ARTHUR B KORBEL P A
Entity type:Organization
Organization Name:DR ARTHUR B KORBEL P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:B
Authorized Official - Last Name:KORBEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM, MD
Authorized Official - Phone:954-753-3146
Mailing Address - Street 1:4425 CORAL HILLS DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-1520
Mailing Address - Country:US
Mailing Address - Phone:954-753-3146
Mailing Address - Fax:
Practice Address - Street 1:4425 CORAL HILLS DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-1520
Practice Address - Country:US
Practice Address - Phone:954-753-3146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0000516213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0697830001Medicare NSC