Healthcare Provider Details
I. General information
NPI: 1114573847
Provider Name (Legal Business Name): AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES AL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/19/2019
Last Update Date: 08/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1536 PROFESSIONAL PKWY
AUBURN AL
36830-2857
US
IV. Provider business mailing address
2255 GLADES RD STE 228W
BOCA RATON FL
33431-7391
US
V. Phone/Fax
- Phone: 334-501-4423
- Fax: 334-501-1223
- Phone: 561-699-7101
- Fax: 561-658-6142
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
KATHRYN
GARRETT
Title or Position: EVP
Credential:
Phone: 561-699-7101