Active NPI
Advanced Rheumatology of Central Florida, P.L.
- Rheumatology Physician
- Clearwater, FL
National Provider Identifier
1801023486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- OS9755
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 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 DirectoryLocations
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": []
}
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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.