FLORIDA INTERNAL MEDICINE PA
NPI 1831136274
Internal Medicine in Lake Mary, FL

NPI Status: Active since June 02, 2006

Contact Information

4106 W LAKE MARY BLVD
SUITE 301
LAKE MARY, FL
ZIP 32746
Phone: (407) 333-2503
Fax: (407) 333-0962

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  • Organization
  • Internal Medicine
  • CLIA Number: 10D0273655
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-30-2025

About FLORIDA INTERNAL MEDICINE PA

This page provides the complete NPI Profile along with additional information for Florida Internal Medicine Pa, an internist established in Lake Mary, Florida operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1831136274 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Glen F Davis Md (President)

NPI
1831136274
Provider Name
FLORIDA INTERNAL MEDICINE PA
Entity Type
Organization
Location Address
4106 W LAKE MARY BLVD SUITE 301 LAKE MARY, FL 32746
Location Phone
(407) 333-2503
Location Fax
(407) 333-0962
Mailing Address
4106 W LAKE MARY BLVD SUITE 301 LAKE MARY, FL 32746
Mailing Phone
(407) 333-2503
Mailing Fax
(407) 333-0962
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-02-2006
Last Update Date
08-23-2007
Code Navigator

An internist like Florida Internal Medicine Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GLEN F DAVIS MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(407) 333-2503

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
59294ZMEDICARE ID-TYPE UNSPECIFIED (04)FLGLEN F. DAVIS, M.D.
59938ZMEDICARE ID-TYPE UNSPECIFIED (04)FLJOHN F. RYAN, M.D.
E11977MEDICARE UPIN (02)FL 
59294ZMEDICARE UPIN (02)FL 
98593MEDICARE ID-TYPE UNSPECIFIED (04)FLFLORIDA INTERNAL MEDICINE

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0273655
Facility Type
Physician Office
Certificate Effective Date
October 01, 2023
Certificate Expiration Date
September 30, 2025
Laboratory Director
JOHN F. RYAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Florida Internal Medicine Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831136274
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28612312214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 2 + 3 + 1 + 2 + 2 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1831136274 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710979554DR. CHRISTOPHER C MASON DPM
Individual
Podiatrist (Foot & Ankle Surgery)4106 W LAKE MARY BLVD 125
LAKE MARY, FL 32746
(497) 333-3668
1760478572DR. DACIA FELIX MILESCU D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)4106 W LAKE MARY BLVD
LAKE MARY, FL 32746
(407) 333-3668
1457324766 JOHN MAURIELLO M.D.
Individual
Phlebology4106 W LAKE MARY BLVD SUITE 324
LAKE MARY, FL 32746
(407) 892-8484
1013975192 WILLIAM L HUETHER III M.D.
Individual
Surgery4106 W LAKE MARY BLVD SUITE 330
LAKE MARY, FL 32746
(407) 833-9195
1538127592 BRIAN L CAMERON M.D.
Individual
Surgery4106 W LAKE MARY BLVD SUITE 330
LAKE MARY, FL 32746
(407) 833-9195
1285692673 JOHN W. ROBERTSON M.D.
Individual
Surgery4106 W LAKE MARY BLVD SUITE 330
LAKE MARY, FL 32746
(407) 833-9195
1649225434DR. DIWYA U RANJIT M.D
Individual
Internal Medicine4106 W LAKE MARY BLVD SUITE 100
LAKE MARY, FL 32746
(407) 333-2273
1689617813 GLEN F. DAVIS M.D.
Individual
Internal Medicine4106 W LAKE MARY BLVD SUITE 301
LAKE MARY, FL 32746
(407) 333-2503
1144266974 JOHN F RYAN M.D.
Individual
Internal Medicine4106 W LAKE MARY BLVD SUITE 301
LAKE MARY, FL 32746
(407) 333-2503
1598772154DR. DEAN LIVINGSTON JOHNSTON M.D.
Individual
Specialist4106 W LAKE MARY BLVD #212
LAKE MARY, FL 32746
(407) 333-2525
1619081965DR. DORIS RANDOLPH CAMERON M.D.
Individual
Internal Medicine4106 W LAKE MARY BLVD SUITE 100
LAKE MARY, FL 32746
(407) 333-2273
1932227980GENERAL & VASCULAR SURGICAL ASSOCIATES PA
Organization
Surgery4106 W LAKE MARY BLVD STE 330
LAKE MARY, FL 32746
(407) 833-9195
1396921995VEIN ASSOCIATES, P.A.
Organization
Phlebology4106 W LAKE MARY BLVD SUITE 325
LAKE MARY, FL 32746
(407) 708-5818
1043480700VEIN HELP OF ORLANDO
Organization
Phlebology4106 W LAKE MARY BLVD STE 324
LAKE MARY, FL 32746
(407) 892-8484
1194044107CHRISTOPHER C. MASON, D.P.M., PA
Organization
Podiatrist (Foot & Ankle Surgery)4106 W LAKE MARY BLVD SUITE 125
LAKE MARY, FL 32746
(407) 333-3668
1326158262 TARA MCHUGH
Individual
Physical Therapist4106 W LAKE MARY BLVD SUITE 320
LAKE MARY, FL 32746
(407) 333-3971
1780870071ROBIN RAHM MD PA
Organization
Surgery4106 W LAKE MARY BLVD SUITE 213
LAKE MARY, FL 32746
(407) 829-2020
1033387865HEATHROW INTERNAL MEDICINE LLC
Organization
Family Medicine4106 W LAKE MARY BLVD SUITE 100
LAKE MARY, FL 32746
(407) 333-2273
1245344571DR. JESSE WAYNE JOHNSON JR. M.D.
Individual
Internal Medicine4106 W LAKE MARY BLVD SUITE 100
LAKE MARY, FL 32746
(407) 333-2273
1003036278 SHELLIE GRAHAM-LAPP D.O.
Individual
Family Medicine4106 W LAKE MARY BLVD SUITE 100
LAKE MARY, FL 32746
(407) 333-2273

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831136274, enumerated in the NPI registry as an "organization" on June 02, 2006

The provider is located at 4106 W Lake Mary Blvd Suite 301 Lake Mary, Fl 32746 and the phone number is (407) 333-2503

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 10D0273655 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.