Provider Demographics
NPI:1568462877
Name:ARTHRITIS AND RHEUMATOLOGY ASSOCIATES OF PALM BEACH, INC.
Entity Type:Organization
Organization Name:ARTHRITIS AND RHEUMATOLOGY ASSOCIATES OF PALM BEACH, INC.
Other - Org Name:ARTHRITIS AND RHEUMATOLOGY ASSOCIATES OF PALM BEACH
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-659-4242
Mailing Address - Street 1:6056 BOYNTON BEACH BLVD STE 145
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3500
Mailing Address - Country:US
Mailing Address - Phone:561-439-1800
Mailing Address - Fax:561-439-4874
Practice Address - Street 1:6056 BOYNTON BEACH BLVD STE 145
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3500
Practice Address - Country:US
Practice Address - Phone:561-439-1800
Practice Address - Fax:561-439-4874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
33494Medicare PIN
5190180002OtherPTAN