Organization Active NPI

The Center for Internal Medicine Inc

  • Internal Medicine Physician
  • Trinity, FL
National Provider Identifier
1003146523
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME100982 Issued in FL
Legal business name
THE CENTER FOR INTERNAL MEDICINE INC
Practice address
2051 Little Rd
Trinity, FL 34655-4421
Phone
(727) 859-4362
Fax
(727) 859-4369
NPI assigned
Jan 6, 2010
Organization subpart
Yes
Parent organization
THE CENTER FOR INTERNAL MEDICINE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mohan Kutty, M.D.
Title
Medical Director
Phone
(727) 858-1652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME100982 FL Primary

Addresses

Primary practice location

2051 Little Rd
Trinity, FL 34655-4421

Mailing address

2051 Little Rd
Trinity, FL 34655-4421
Phone (727) 859-4362

National Provider Directory

National Provider Directory
Part of
The Cent for Int Med in

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1003146523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554421",
            "telephone_number": "727-859-4362",
            "fax_number": "727-859-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554421",
            "telephone_number": "727-859-4362",
            "fax_number": "727-859-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR INTERNAL MEDICINE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CENTER FOR INTERNAL MEDICINE INC",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "KUTTY",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-858-1652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.