Provider Demographics
NPI:1013635366
Name:ARTHRITIS AND OSTEOPOROSIS CENTER
Entity Type:Organization
Organization Name:ARTHRITIS AND OSTEOPOROSIS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:BUSTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-861-0100
Mailing Address - Street 1:3301 SW 34TH CIR STE 101
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-6619
Mailing Address - Country:US
Mailing Address - Phone:352-861-0100
Mailing Address - Fax:352-861-1119
Practice Address - Street 1:3301 SW 34TH CIR STE 101
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-6619
Practice Address - Country:US
Practice Address - Phone:352-861-0100
Practice Address - Fax:352-861-1119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty