Four Corners Internal Medicine, Llc in Davenport - Clinic/center
Four Corners Internal Medicine, Llc - NPI 1346295466
Four Corners Internal Medicine, Llc is a Clinic/center in Davenport, Florida. Four Corners Internal Medicine, Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Four Corners Internal Medicine, Llc is 1346295466. The last update date is 2010-10-20.
Four Corners Internal Medicine, Llc's current location address is 106 Polo Park East Blvd, Davenport, Florida. You can contact this provider via phone number 8634248900 and fax number 8634248823. The mailing address for Four Corners Internal Medicine, Llc is 106 Polo Park East Blvd, Davenport, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Four Corners Internal Medicine, Llc |
|---|---|
| Address | 106 Polo Park East Blvd, Davenport, Florida |
| Phone Number | 8634248900 |
| Fax Number | 8634248823 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kosanam Reddy Srinath |
| Credentials | MD |
| Telephone Number | 8634248900 |
NPI Number Detail
| NPI Number | 1346295466 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2010-10-20 |
Provider Mailing Address Detail
| Address | 106 Polo Park East Blvd |
|---|---|
| City | Davenport |
| State | Florida (FL) |
| Post Code | 338979407 |
| Phone Number | 8634248900 |
| Fax Number | 8634248823 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | ME78339 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Four Corners Internal Medicine, Llc by the Centers for Medicare & Medicaid Services?
The Four Corners Internal Medicine, Llc has been assigned the NPI (National Provider Identifier) 1346295466 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Four Corners Internal Medicine, Llc?
The Four Corners Internal Medicine, Llc is situated at 106 Polo Park East Blvd, in the city of Davenport, state of FL, with the zip code 338979407.
What is Four Corners Internal Medicine, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Four Corners Internal Medicine, Llc is Clinic/center, and the taxonomy code that classifies this field of practice is 261Q00000X.
On what date did the Four Corners Internal Medicine, Llc receive its 1346295466 assignment from the Centers for Medicare & Medicaid Services?
The Four Corners Internal Medicine, Llc was assigned its 1346295466 by the Centers for Medicare & Medicaid Services on 2006-05-24.
When was the information related to Four Corners Internal Medicine, Llc most recently updated or refreshed?
The details pertaining to the Four Corners Internal Medicine, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-10-20.