Haines City Internal Medicine Pa

LBN: Haines City Internal Medicine Pa
Haines City Internal Medicine Pa is an health care organization with primary practice located at 608 Ingraham Ave , Haines City FL 33844-4330. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Haines City Internal Medicine Pa can be contacted via phone (863) 422-9562, or through Stine, Jay C via phone (863) 422-9562.

Contact Information

Primary practice address
608 Ingraham Ave Haines City FL 33844-4330
Phone: (863) 422-9562
Fax: (863) 421-3246
Website:
Map and Directions
Authorized official contact:
Name: Stine, Jay C Doctor of Medicine (MD)
Phone: (863) 422-9562

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0050219 Florida

Profile Details

NPI number 1386799542
LBN Legal business name Haines City Internal Medicine Pa
DBA Doing business as
Authorized official Stine, Jay C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Apr 24th, 2020 - about 5 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386799542 NPPES
Florida MEDICAID 259269000

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