Healthcare Provider Details

I. General information

NPI: 1578042313
Provider Name (Legal Business Name): AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES VA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2018
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19450 DEERFIELD AVE STE 445
LEESBURG VA
20176-6822
US

IV. Provider business mailing address

2255 GLADES RD STE 228W
BOCA RATON FL
33431-7391
US

V. Phone/Fax

Practice location:
  • Phone: 703-858-7222
  • Fax:
Mailing address:
  • Phone: 561-699-7101
  • Fax: 561-658-6142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. KATHRYN N. GARRETT
Title or Position: EVP
Credential:
Phone: 561-699-7101