Provider Demographics
NPI:1215403936
Name:CENTRAL FLORIDA RHEUMATOLOGY CARE
Entity Type:Organization
Organization Name:CENTRAL FLORIDA RHEUMATOLOGY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOEHRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-514-8441
Mailing Address - Street 1:6439 HIGHLANDS IN THE WOODS ST
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-3815
Mailing Address - Country:US
Mailing Address - Phone:939-717-1265
Mailing Address - Fax:
Practice Address - Street 1:131 WEBB DR
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-3921
Practice Address - Country:US
Practice Address - Phone:863-660-4747
Practice Address - Fax:863-686-3482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-19
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty