Florida Internal Medicine PA
NPI 1831136274ActiveOrganization· Internal Medicine· Lake Mary, FL
Internal Medicine in Lake Mary, Florida, registered in NPPES in June 2006. The authorized official on file is Glen F. Davis, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1831136274 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 2, 2006 |
| Last updated in NPPES | Aug 23, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Internal Medicine providers in Lake Mary
- 1922649367
- 1770148231
- 1649228859
- 1639764871
- 1376876318
- 1104609866
- 1477041135
- 1588851133
- 1730888199
- 1588358857
- 1669305835
- 1487528428