Healthcare Provider Details
I. General information
NPI: 1679362552
Provider Name (Legal Business Name): ONE RHEUMATOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/06/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11380 PROSPERITY FARMS RD STE E121
PALM BEACH GARDENS FL
33410-3474
US
IV. Provider business mailing address
11380 PROSPERITY FARMS RD STE E121
PALM BEACH GARDENS FL
33410-3474
US
V. Phone/Fax
- Phone: 561-559-1110
- Fax: 561-559-1118
- Phone: 561-559-1110
- Fax: 561-559-1118
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CLIFFORD
STERMER
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 561-559-1110