Arthritis Center of Orlando PA
Organization Active NPI Non-Pharmacy Dispensing Site · Ocoee, FL
NPI 1134595093 · NPPES record last updated Nov 17, 2024
Key facts
- NPI
- 1134595093
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- Legal business name
- ARTHRITIS CENTER OF ORLANDO PA
- Practice address
- 1550 Citrus Medical CT
Ocoee, FL 34761 - Phone
- (407) 757-0277
- Fax
- (407) 757-0271
- NPI assigned
- Aug 14, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Nimesh A Dayal, MD
- Title
- Owner
- Phone
- (407) 757-0277
Practitioners 6
-
Mariangeli Arroyo-Avila, M.D.
-
Nimesh A Dayal, MD
-
Reena Varghese, ARNP
-
Glory John, ARNP
-
Alexander Torres, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151106000768 | FL | Part B Supplier - Clinic/Group Practice | 6305156183 |
Receives reassigned benefits from 3 practitioners Practice locations: Ocoee, FL |
National Provider Directory
Locations
1550 Citrus Medical Ct
Ocoee, FL 34761
Phone (407) 296-1540
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GHHCAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician |
207RR0500X | ME114449 | FL | |
| Non-Pharmacy Dispensing Site | 332900000X | Yes |
Addresses
Primary practice location
1550 Citrus Medical CT
Ocoee, FL 34761
Mailing address
PO Box 645
Gotha, FL 34734-0645
Phone (407) 296-1540
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215145636 | Other | FL | NPI |
| 007376600 | Medicaid | FL | |
| ME114449 | Other | FL | LISCENCE |
| 1134595093 | Other | FL | GROUP NPI |
Other names
- Arthritis Center of Orlando
- Arthritis Specialty Medication
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Ocoee | Direct |
Other providers in Ocoee, FL
- Alka Arora
- Satish K Arora
- Michael Arp
- Mariangeli Arroyo-Avila
- Isaiah Arroyo
- Jesica Rose Ashby
- Abdelrahman Ashry
- Assured Living, LLC.
- Atienza Physician Services LLC
- Jenelle Auguste
All providers in Ocoee, FL · Non-Pharmacy Dispensing Site in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.