Provider Demographics
NPI:1417185364
Name:ARNAO, JOSE ROBERTO (OD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ROBERTO
Last Name:ARNAO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10006 NW 17TH RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-9274
Mailing Address - Country:US
Mailing Address - Phone:954-347-0435
Mailing Address - Fax:352-505-6416
Practice Address - Street 1:6757 W NEWBERRY RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4312
Practice Address - Country:US
Practice Address - Phone:352-331-2040
Practice Address - Fax:352-331-1526
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4293152W00000X
FLOPC 4293152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152W00000XEye and Vision Services ProvidersOptometrist