Provider Demographics
NPI:1346426780
Name:ARTHRITIS PAIN TREATMENT CENTER
Entity Type:Organization
Organization Name:ARTHRITIS PAIN TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARLOWE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:727-723-1454
Mailing Address - Street 1:PO BOX 2796
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33757-2796
Mailing Address - Country:US
Mailing Address - Phone:727-723-1454
Mailing Address - Fax:727-723-2950
Practice Address - Street 1:712 GRAND CENTRAL ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3412
Practice Address - Country:US
Practice Address - Phone:727-723-1454
Practice Address - Fax:727-723-2950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1641332207RR0500X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL40267Medicare PIN
FLS06925Medicare UPIN