Provider Demographics
NPI:1518272392
Name:RHEUMOTOLGY ASSOCIATES
Entity Type:Organization
Organization Name:RHEUMOTOLGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-367-4460
Mailing Address - Street 1:4123 UNIVERSITY BLVD S
Mailing Address - Street 2:STE D
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-4241
Mailing Address - Country:US
Mailing Address - Phone:904-367-4460
Mailing Address - Fax:904-367-4454
Practice Address - Street 1:4123 UNIVERSITY BLVD S
Practice Address - Street 2:STE D
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4371
Practice Address - Country:US
Practice Address - Phone:904-367-4460
Practice Address - Fax:904-367-4454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-17
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74773207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty