Organization
SOUTHEAST REGIONAL ARTHRITIS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY M MARLOWE ARNP (OWNER)
(727) 447-3434
Entity
Organization
Contact information
Practice address
2221 KENT PL, CLEARWATER, FL 33764-6624
(727) 447-3434
(727) 447-6969
Mailing address
PO BOX 5227, CLEARWATER, FL 33758-5227
(727) 447-3434
(727) 447-6969
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033416200
—
FL
01
—
DE5891
RAILROAD MEDICARE
FL
Enumeration date
05/11/2006
Last updated
11/16/2015
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