Healthcare Provider Details

I. General information

NPI: 1013635366
Provider Name (Legal Business Name): ARTHRITIS AND OSTEOPOROSIS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 SW 34TH CIR STE 101
OCALA FL
34474-6619
US

IV. Provider business mailing address

3301 SW 34TH CIR STE 101
OCALA FL
34474-6619
US

V. Phone/Fax

Practice location:
  • Phone: 352-861-0100
  • Fax: 352-861-1119
Mailing address:
  • Phone: 352-861-0100
  • Fax: 352-861-1119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: JUAN C BUSTILLO
Title or Position: PARTNER
Credential: MD
Phone: 352-861-0100