INTERNAL MEDICINE OF LAKE CITY PA NPI 1285822981

NPI Information

NPI: 1285822981
Provider Name: INTERNAL MEDICINE OF LAKE CITY PA
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 289 SW STONEGATE TER
SUITE 104
LAKE CITY, FL
ZIP 32024
Phone: (386) 755-1703

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NPI Details

INTERNAL MEDICINE OF LAKE CITY PA is a primary care clinic center in Lake City, FL. INTERNAL MEDICINE OF LAKE CITY PA NPI is 1285822981. The provider is registered as an organization entity type.

The provider's business location address is:

289 SW STONEGATE TER
SUITE 104
LAKE CITY, FL
ZIP 32024-456
Phone: (386) 755-1703
Fax: (386) 755-1744

The provider's authorized official is Shammi K Bali .
The authorized official title is President and has the following contact phone number (386) 755-1703.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 9/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	BB6375477	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K8942	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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