NORTH FL ARTHRITIS CLINIC, PA.; NPI #1023210986

Contact Information

NORTH FL ARTHRITIS CLINIC, PA.

4551 W EST US 90
SUITE 102
LAKE CITY, FL 32055

Phone: 386-719-6520
Fax: 386-719-6592
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Specialist	174400000X

Indicates primary specialty

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NPI Profile & details for NORTH FL ARTHRITIS CLINIC, PA.

NPI Number 1023210986

LBN Legal business name NORTH FL ARTHRITIS CLINIC, PA.

Authorized official SUSANNE CICERO - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/04/2007

Last updated 02/01/2012 - About 14 years ago

Identifiers

FL	License #	ME70903
FL	Other	32116	BC/BS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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