Haines City Internal Medicine Pa in Haines City - Internal Medicine

Haines City Internal Medicine Pa - NPI 1386799542

Haines City Internal Medicine Pa is a Internal Medicine in Haines City, Florida. Haines City Internal Medicine Pa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Haines City Internal Medicine Pa is 1386799542. The last update date is 2020-04-24.

Haines City Internal Medicine Pa's current location address is 608 Ingraham Avenue, Haines City, Florida. You can contact this provider via phone number 8634229562 and fax number 8634213246. The mailing address for Haines City Internal Medicine Pa is 608 Ingraham Avenue, Haines City, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Haines City Internal Medicine Pa
Address 608 Ingraham Avenue, Haines City, Florida
Phone Number 8634229562
Fax Number 8634213246
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PART OWNER
Authorized Official Name Stine C Jay
Credentials MD
Telephone Number 8634229562

NPI Number Detail

NPI Number 1386799542
Provider Enumeration Date 2007-01-25
Last Updated Date 2020-04-24

Provider Mailing Address Detail

Address 608 Ingraham Avenue
City Haines City
State Florida (FL)
Post Code 338445619
Phone Number 8634229562
Fax Number 8634213246

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No ME0050219
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
259269000 FL --

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FAQs about Haines City Internal Medicine Pa

What is the unique 10-digit identifier code assigned to Haines City Internal Medicine Pa by the Centers for Medicare & Medicaid Services?

The Haines City Internal Medicine Pa has been issued the NPI (National Provider Identifier) 1386799542 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Haines City Internal Medicine Pa is located?

The Haines City Internal Medicine Pa is situated at the following address: 608 Ingraham Avenue, Haines City, FL, 338445619.

What is Haines City Internal Medicine Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Haines City Internal Medicine Pa is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.

On what date did Haines City Internal Medicine Pa receive its 1386799542 assignment from the Centers for Medicare & Medicaid Services?

The Haines City Internal Medicine Pa was assigned its 1386799542 on 2007-01-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Haines City Internal Medicine Pa last refreshed?

The information related to the Haines City Internal Medicine Pa, including its address, specialty, and other relevant details, was last updated on 2020-04-24.

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