| Entity Name: | ARTHRITIS & OSTEOPOROSIS TREATMENT CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Jan 1988 (37 years ago) |
| Document Number: | M64540 |
| FEI/EIN Number | 592863260 |
| Address: | 2100 KINGSLEY AVE, ORANGE PARK, FL, 32073, US |
| Mail Address: | 2100 KINGSLEY AVENUE, ORANGE PARK, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1508853797 | 2005-10-03 | 2015-01-06 | 2100 KINGSLEY AVE, ORANGE PARK, FL, 320735130, US | 2100 KINGSLEY AVE, ORANGE PARK, FL, 320735130, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-276-0001 |
| Fax | 9042765333 |
Authorized person
| Name | DR. MEERA RAJSHEKAR OZA |
| Role | PHYSICIAN/PRESIDENT |
| Phone | 9042760001 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| License Number | ME47366 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | ARNP2017862 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | ARNP9228833 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | ARNP3343402 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 98559 |
| State | FL |
| Issuer | AVMED |
| Number | 101066 |
| State | FL |
| Issuer | RR MEDICARE PIN |
| Number | CJ2429 |
| State | FL |
| Issuer | MEDICAID |
| Number | 063437900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AKEL, EDWARD C. | Agent | ONE INDEPENDENT DRIVE, JACKSONVILLE, FL, 32202 |
| Name | Role | Address |
|---|---|---|
| OZA MEERA R | Director | 2100 KINGSLEY AVENUE, ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 1996-04-12 | ARTHRITIS & OSTEOPOROSIS TREATMENT CENTER, P.A. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
