Organization Name: | NORTH FL ARTHRITIS CLINIC, PA. |
NPI Number: | 1023210986 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSANNE CICERO (OFFICE MANAGER) |
Mailing Address: | 4551 W Est Us 90 Suite 102 Lake City |
State: | FL US |
Postal Code: | 32055 |
Phone Number: | 3867196520 |
Fax Number: | 3867196592 |
NPI Enumeration Date: | 06/04/2007 |
NPI Last Update Date: | 02/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME70903 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |