Provider Demographics
NPI:1730259201
Name:ARTHRITIS CENTER INC
Entity type:Organization
Organization Name:ARTHRITIS CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-293-3357
Mailing Address - Street 1:32615 US HWY 19 N
Mailing Address - Street 2:STE 2
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684
Mailing Address - Country:US
Mailing Address - Phone:727-789-2784
Mailing Address - Fax:727-785-3537
Practice Address - Street 1:32615 US HWY 19 N
Practice Address - Street 2:STE 2
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684
Practice Address - Country:US
Practice Address - Phone:727-789-2784
Practice Address - Fax:727-785-3537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0031700174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD57300Medicare UPIN
FLK3928Medicare ID - Type UnspecifiedGROUP NUMBER
FL0598120001Medicare NSC