Healthcare Provider Details

I. General information

NPI: 1942754502
Provider Name (Legal Business Name): ARTHRITIS WAREHOUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2016
Last Update Date: 08/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9858 GLADES RD 162
BOCA RATON FL
33434-3983
US

IV. Provider business mailing address

9858 GLADES RD 162
BOCA RATON FL
33434-3983
US

V. Phone/Fax

Practice location:
  • Phone: 888-248-1026
  • Fax:
Mailing address:
  • Phone: 888-248-1026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MITCHELL J MAISEL
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 954-295-0164