Provider Demographics
NPI:1114758620
Name:CENTRAL FLORIDA RHEUMATOLOGY CONSULTANTS LLC
Entity type:Organization
Organization Name:CENTRAL FLORIDA RHEUMATOLOGY CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MISLEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-561-9967
Mailing Address - Street 1:795 PRIMERA BLVD STE 1001
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2191
Mailing Address - Country:US
Mailing Address - Phone:386-561-9967
Mailing Address - Fax:844-815-1446
Practice Address - Street 1:795 PRIMERA BLVD STE 1001
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2191
Practice Address - Country:US
Practice Address - Phone:386-561-9967
Practice Address - Fax:844-815-1446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site