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Heathrow Internal Medicine LLC

NPI 1164191169ActiveOrganization· Family Medicine· Sanford, FL

Family Medicine in Sanford, Florida, registered in NPPES in September 2021, part of Heathrow Internal Medicine LLC. The authorized official on file is William Tedrick Johnson, Vice President.

Overview

NPI1164191169
StatusActive
Entity typeOrganization (subpart)
Parent organizationHeathrow Internal Medicine LLC
NPI issuedSep 13, 2021
Last updated in NPPESSep 13, 2021
Certified by providerSep 13, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Sanford

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