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FLORIDA PHYSICIANS MEDICAL GROUP INC NPI 1285662221


NPI Information

NPI: 1285662221
Provider Name: FLORIDA PHYSICIANS MEDICAL GROUP INC

Doing Business As: FAMILY PRACTICE CENTER OF AVON PARK

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1006 W PLEASANT ST
AVON PARK, FL
ZIP 33825
Phone: (863) 453-3121
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FLORIDA PHYSICIANS MEDICAL GROUP INC is a family medicine in Avon Park, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FLORIDA PHYSICIANS MEDICAL GROUP INC NPI is 1285662221. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Family Practice Center Of Avon Park.

The provider's business location address is:

1006 W PLEASANT ST
AVON PARK, FL
ZIP 33825-966
Phone: (863) 453-3121
Fax: (863) 452-2823

The provider's authorized official is Bryan Stiltz .
The authorized official title is President and has the following contact phone number (407) 200-2700.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 1/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2363AM0700XPhysician AssistantMedicalNo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1103832MEDICARE OSCAR/CERTIFICATION
2CG7931MEDICARE PIN
3K0589MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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