Healthcare Provider Details

I. General information

NPI: 1548604127
Provider Name (Legal Business Name): ARTHRITIS & RHEUMATOLOGY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2013
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9191 R G SKINNER PKWY UNIT 603
JACKSONVILLE FL
32256-9661
US

IV. Provider business mailing address

9838 OLD BAYMEADOWS RD # 344
JACKSONVILLE FL
32256-8101
US

V. Phone/Fax

Practice location:
  • Phone: 904-503-6999
  • Fax: 904-503-6998
Mailing address:
  • Phone: 904-503-6999
  • Fax: 904-503-6998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberME91096
License Number StateFL

VIII. Authorized Official

Name: MANISH RELAN
Title or Position: PRESIDENT
Credential: MD
Phone: 904-503-6999