PHOENIX INTERNAL MEDICINE LLC NPI 1558823500

NPI Information

NPI: 1558823500
Provider Name: PHOENIX INTERNAL MEDICINE LLC
Classification: Hospitalist - 208M00000X
Entity Type: Organization
Address:
5579 S ORANGE AVE
EDGEWOOD, FL
ZIP 32809
Phone: (407) 906-5092
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PHOENIX INTERNAL MEDICINE LLC is a hospitalist in Edgewood, FL. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. PHOENIX INTERNAL MEDICINE LLC NPI is 1558823500. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5579 S ORANGE AVE
EDGEWOOD, FL
ZIP 32809-493
Phone: (407) 906-5092
Fax: (407) 641-8133

The provider's authorized official is Robert Powers .
The authorized official title is President and has the following contact phone number (407) 906-5092.

The enumeration date for this NPI number is 4/1/2019 and was last updated on 10/9/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208M00000X	Hospitalist				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003812400	MEDICAID	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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