NPIMap

Organization Active NPI

Florida Medical Specialists, LLC

  • Family Medicine Physician
  • North Port, FL
National Provider Identifier
1013550102
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FLORIDA MEDICAL SPECIALISTS, LLC
Practice address
4451 Aidan LN Unit 201
North Port, FL 34287-4933
Phone
(941) 423-1111
Fax
(941) 423-2274
NPI assigned
Oct 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Inita Bedi
Title
Managing Partner
Phone
(941) 202-5338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4451 Aidan LN Unit 201
North Port, FL 34287-4933

Mailing address

PO Box 25487
Sarasota, FL 34277-2487
Phone (941) 202-5342

Other practice location 1

14876 Tamiami Trl
North Port, FL 34287-2701
Phone (941) 423-1111

Other names 1

  • MAXhealth Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070726000554 FL Part B Supplier - Clinic/Group Practice 5799786687 Receives reassigned benefits from 183 practitioners
30 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: North Port, FL; Port Richey, FL; Riverview, FL; Sarasota, FL; Seminole, FL; Summerfield, FL; Tampa, FL; Venice, FL…

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2177457Florida Medical Specialists LLC Dba4451 Aidan Lane Unit 201, North Port, FL 34287Certificate of waiverJan 12, 2028

National Provider Directory

National Provider Directory

Locations

1211 Jacaranda Blvd
Unit 2
Venice, FL 34292
Phone (941) 483-3377

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1013550102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487",
            "telephone_number": "941-202-5342",
            "fax_number": "855-253-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 AIDAN LN UNIT 201",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342874933",
            "telephone_number": "941-423-1111",
            "fax_number": "941-423-2274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14876 Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342872701",
            "country_code": "US",
            "telephone_number": "941-423-1111",
            "fax_number": "941-423-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA MEDICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "BEDI",
        "authorized_official_first_name": "INITA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "941-202-5338"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAXhealth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MAXhealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.