Provider Demographics
NPI:1073060919
Name:AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES-MGC LLC
Entity Type:Organization
Organization Name:AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES-MGC LLC
Other - Org Name:FARA
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:772-766-5187
Mailing Address - Street 1:PO BOX 2063
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33468-2063
Mailing Address - Country:US
Mailing Address - Phone:772-766-5187
Mailing Address - Fax:
Practice Address - Street 1:694 8TH ST N
Practice Address - Street 2:SUITE A
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5523
Practice Address - Country:US
Practice Address - Phone:772-766-5187
Practice Address - Fax:440-551-4658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS5200207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty