Provider Demographics
NPI:1508853797
Name:ARTHRITIS & OSTEOPOROSIS TREATMENT CENTER, P.A.
Entity Type:Organization
Organization Name:ARTHRITIS & OSTEOPOROSIS TREATMENT CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MEERA
Authorized Official - Middle Name:RAJSHEKAR
Authorized Official - Last Name:OZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-276-0001
Mailing Address - Street 1:2100 KINGSLEY AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-5130
Mailing Address - Country:US
Mailing Address - Phone:904-276-0001
Mailing Address - Fax:904-276-5333
Practice Address - Street 1:2100 KINGSLEY AVE
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-5130
Practice Address - Country:US
Practice Address - Phone:904-276-0001
Practice Address - Fax:904-276-5333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME47366207RR0500X
FLARNP2017862363L00000X
FLARNP9228833363L00000X
FLARNP3343402363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL98559OtherBCBS
FL101066OtherAVMED
FLCJ2429OtherRR MEDICARE PIN
FL063437900Medicaid
FL063437900Medicaid
FL063437900Medicaid