Internal Medicine Group Of Winter Haven,P.A.

LBN: Internal Medicine Group Of Winter Haven,P.A.
Internal Medicine Group Of Winter Haven,P.A. is an health care organization with primary practice located at 400 Avenue K Se Suite 11, Winter Haven FL 33880-4146. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Internal Medicine Group Of Winter Haven,P.A. can be contacted via phone (863) 294-4404, or through Allen, Brenda D via phone (863) 294-4404.

Contact Information

Primary practice address
400 Avenue K Se Suite 11 Winter Haven FL 33880-4146
Phone: (863) 294-4404
Fax: (863) 294-1059
Website:
Map and Directions
Authorized official contact:
Name: Allen, Brenda D
Phone: (863) 294-4404

Health care specialties

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

Profile Details

NPI number 1306879721
LBN Legal business name Internal Medicine Group Of Winter Haven,P.A.
DBA Doing business as
Authorized official Allen, Brenda D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Aug 5th, 2013 - about 12 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 1306879721 NPPES
Florida MEDICAID 253257300

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