North FL Arthritis Clinic, PA.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME70903 Issued in FL

Legal business name

NORTH FL ARTHRITIS CLINIC, PA.

Doing business as

North FL Arthritis Clinic, P.a.

Practice address

4551 W Est US 90
Suite 102
Lake City, FL 32055

Phone

(386) 719-6520

Fax

(386) 719-6592

NPI assigned

Jun 4, 2007

Last updated

Feb 1, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Susanne Cicero

Title

Office Manager

Phone

(386) 719-6520

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NORTH FL ARTHRITIS CLINIC, P.A. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rizwan Mansoor, MD

  • Rheumatology Physician
  • Lake City, FL
  • NPI 1508817370
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1023210986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 W EST US 90",
            "address_2": "SUITE 102",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32055",
            "telephone_number": "386-719-6520",
            "fax_number": "386-719-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 W EST US 90",
            "address_2": "SUITE 102",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32055",
            "telephone_number": "386-719-6520",
            "fax_number": "386-719-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FL ARTHRITIS CLINIC, PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "CICERO",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-719-6520",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME70903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "32116",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH FL ARTHRITIS CLINIC, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christiana Taplah Nimely
• Phoebe N Nipper, RDH
• Ashley Nobles, R.T.(R)
• Lauren Noblin
• Stephanie Jo Nogle, MOT, OTR/L
• North Florida Anesthesia Services
• North Florida Cancer Center Lake City LLC (The Cancer Center at Lake City)
• North Florida Center for Counseling, LLC
• North Florida Dermatology LLC
• North Florida Emergency Physicians

• Specialist in Lake City, FL
• Providers in Lake City, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.