Provider Demographics
NPI:1992747257
Name:CLODE, ARTHUR DAVID (DPM)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:DAVID
Last Name:CLODE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3428 17TH ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34235-8906
Mailing Address - Country:US
Mailing Address - Phone:941-366-4888
Mailing Address - Fax:941-366-4889
Practice Address - Street 1:3428 17TH ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34235-8906
Practice Address - Country:US
Practice Address - Phone:941-366-4888
Practice Address - Fax:941-366-4889
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2080213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0874570001Medicare NSC