Provider Demographics
NPI:1649396037
Name:FLORIDA ARTHRITIS CENTER P L
Entity Type:Organization
Organization Name:FLORIDA ARTHRITIS CENTER P L
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:NYANTEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:386-668-1410
Mailing Address - Street 1:147 PARLIAMENT LOOP
Mailing Address - Street 2:SUITE 1005
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3560
Mailing Address - Country:US
Mailing Address - Phone:407-688-9446
Mailing Address - Fax:407-688-9448
Practice Address - Street 1:147 PARLIAMENT LOOP
Practice Address - Street 2:SUITE 1005
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3560
Practice Address - Country:US
Practice Address - Phone:407-688-9446
Practice Address - Fax:407-688-9448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty