Internal Medicine LLC
NPI 1164161840ActiveOrganization· Internal Medicine, Interventional Cardiology· Longwood, FL
Internal Medicine, Interventional Cardiology in Longwood, Florida, registered in NPPES in June 2022. The authorized official on file is Andy Jordan, Credentialing Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164161840 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2022 |
| Last updated in NPPES | Aug 16, 2024 |
| Certified by provider | Aug 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Interventional Cardiology Primary | 207RI0011X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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