Healthcare Provider Details
I. General information
NPI: 1750343380
Provider Name (Legal Business Name): ARTHRITIS & RHEUMATIC CARE CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/06/2006
Last Update Date: 09/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6141 SUNSET DR SUITE 501
SOUTH MIAMI FL
33143-5039
US
IV. Provider business mailing address
6141 SUNSET DR SUITE 501
SOUTH MIAMI FL
33143-5039
US
V. Phone/Fax
- Phone: 305-661-6615
- Fax: 305-661-6619
- Phone: 305-661-6615
- Fax: 305-661-6619
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: DR.
ERIC
A
SHELDON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-661-6615