| Doctor Name: | ARLENE H RADCLIFF |
| NPI Number: | 1215172499 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP185652 |
| Business Practice Address: | 5005 Port St John Pkwy Suite 2600 Port St John, FL - 329274305 |
| Business Phone Number: | 3215047375 |
| Business Fax Number: | 3215040737 |
| Mailing Address: | 805 Century Medical Dr, Suite C TITUSVILLE |
| State: | FL |
| Postal Code: | 327962100 |
| Phone Number: | 3212686264 |
| Fax Number: | 3212686273 |
| NPI Enumeration Date: | 12/02/2008 |
| NPI Last Update Date: | 08/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP185652 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |