Organization
NORTH FL ARTHRITIS CLINIC, PA.
Active
Other names
NORTH FL ARTHRITIS CLINIC, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSANNE CICERO (OFFICE MANAGER)
(386) 719-6520
Entity
Organization
Contact information
Practice address
4551 W EST US 90, SUITE 102, LAKE CITY, FL 32055
(386) 719-6520
(386) 719-6592
Mailing address
4551 W EST US 90, SUITE 102, LAKE CITY, FL 32055
(386) 719-6520
(386) 719-6592
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME70903
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32116
BC/BS
FL
Enumeration date
06/04/2007
Last updated
02/01/2012
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