Advanced Internal Medicine Care, Pa
LBN: Advanced Internal Medicine Care, Pa
Advanced Internal Medicine Care, Pa is an health care organization with primary practice located at 5455 S Florida Ave , Lakeland FL 33813-2523. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Advanced Internal Medicine Care, Pa can be contacted via phone (863) 644-3585, or through Cardona, Dario Fernando via phone (863) 644-3585.
Contact Information
Primary practice address
5455 S Florida Ave
Lakeland FL 33813-2523
Phone: (863) 644-3585
Fax: (863) 644-3171
Website:
Authorized official contact:
Name: Cardona, Dario Fernando Doctor of Medicine (MD)
Phone: (863) 644-3585
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 9970043900 | Florida |
Profile Details
| NPI number | 1811130339 |
|---|---|
| LBN Legal business name | Advanced Internal Medicine Care, Pa |
| DBA Doing business as | |
| Authorized official | Cardona, Dario Fernando Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 14th, 2009 |
| Last updated | Jan 5th, 2024 - about 11 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811130339 | NPPES |
| Florida | MEDICAID | 000487200 |
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