Provider Demographics
NPI:1437398674
Name:ARTHRITIS AND SPORTSCARE CENTER INC
Entity Type:Organization
Organization Name:ARTHRITIS AND SPORTSCARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HULON
Authorized Official - Middle Name:E
Authorized Official - Last Name:CRAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-873-6748
Mailing Address - Street 1:2917 HIGHWAY 77
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-5013
Mailing Address - Country:US
Mailing Address - Phone:850-873-6748
Mailing Address - Fax:850-913-1820
Practice Address - Street 1:2917 HIGHWAY 77
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405
Practice Address - Country:US
Practice Address - Phone:850-873-6748
Practice Address - Fax:850-913-1820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL256011900Medicaid
FL43366ZMedicare UPIN