Organization Active NPI

Advanced Rheumatology of Central Florida, P.L.

  • Rheumatology Physician
  • Clearwater, FL
National Provider Identifier
1801023486
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
OS9755 Issued in FL
Legal business name
ADVANCED RHEUMATOLOGY OF CENTRAL FLORIDA, P.L.
Practice address
100 S Belcher Rd
#6087
Clearwater, FL 33758-8902
Phone
(727) 953-3712
NPI assigned
Jun 22, 2009
Last updated
Sep 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Dr. Adam Jacob Grunbaum, D.O.
Title
Rheumatologist
Phone
(727) 953-3712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X OS9755 FL Primary

Addresses

Primary practice location

100 S Belcher Rd
#6087
Clearwater, FL 33758-8902

Mailing address

100 S Belcher Rd
#6087
Clearwater, FL 33758-8902

National Provider Directory

National Provider Directory

Locations

100 S Belcher Rd
Unit 6087
Clearwater, FL 33758
Phone (727) 953-3712

3004 17th St
Saint Cloud, FL 34769
Phone (407) 593-2910

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1801023486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BELCHER RD",
            "address_2": "#6087",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337588902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BELCHER RD",
            "address_2": "#6087",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337588902",
            "telephone_number": "727-953-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RHEUMATOLOGY OF CENTRAL FLORIDA, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "GRUNBAUM",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "RHEUMATOLOGIST",
        "authorized_official_telephone_number": "727-953-3712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "OS9755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.