Organization
ARTHRITIC DISEASES CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECILIA C. OLAZAR M.D. (DIRECTOR)
(904) 285-1113
Entity
Organization
Contact information
Practice address
130 PROFESSIONAL DR, PONTE VEDRA BEACH, FL 32082-1202
(904) 285-1113
(904) 285-3110
Mailing address
130 PROFESSIONAL DR, PONTE VEDRA BEACH, FL 32082-1202
(904) 285-1113
(904) 285-3110
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
51858
FL
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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