| Florida Med Group LLC | |
|
4820 5th Avenue North St Petersburgh FL 33713-3371 | |
| (727) 466-3000 | |
| (727) 844-5425 |
| Full Name | Florida Med Group LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4820 5th Avenue North, St Petersburgh, Florida |
| Authorized Official Name and Position | Muhammad S Hayat (MANAGER) |
| Authorized Official Contact | 7274663000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Med Group LLC Po Box 7707 Clearwater FL 33758-7707 Ph: (727) 844-5404 | Florida Med Group LLC 4820 5th Avenue North St Petersburgh FL 33713-3371 Ph: (727) 466-3000 |
| NPI Number | 1659968998 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 01/10/2022 |
| Certification Date | 01/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659968998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207RN0300X | Internal Medicine - Nephrology | () | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | () | Secondary |