Provider Demographics
NPI:1174673669
Name:RHEUMATOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:RHEUMATOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAYBIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-434-9992
Mailing Address - Street 1:2441 N 9TH AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-3911
Mailing Address - Country:US
Mailing Address - Phone:850-434-9992
Mailing Address - Fax:850-435-2525
Practice Address - Street 1:2441 N 9TH AVE
Practice Address - Street 2:SUITE A
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-3911
Practice Address - Country:US
Practice Address - Phone:850-434-9992
Practice Address - Fax:850-435-2525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL208545300Medicaid
FL208545300Medicaid