Poinciana Internal Medicine PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

POINCIANA INTERNAL MEDICINE PA

Doing business as

Ocoee Internal Medicine

Practice address

1144 Kelton Ave Ste 1009
Ocoee, FL 34761-3175

Phone

(075) 538-0304

NPI assigned

Nov 5, 2013

Organization subpart

No

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

Authorized official

Name

Talha Shamim, MDNPI 1376573295

Title

Owner

Phone

(026) 798-2244

Specialties & licenses 1

Addresses

Other names 1

• Ocoee Internal Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Talha Shamim, M.D.

  • Internal Medicine Physician
  • Ocoee, FL
  • NPI 1376573295
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1063841567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 KELTON AVE STE 1009",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613175",
            "telephone_number": "407-553-8030",
            "fax_number": "407-533-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 KELTON AVE STE 1009",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613175",
            "telephone_number": "075-538-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINCIANA INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "SHAMIM",
        "authorized_official_first_name": "TALHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "026-798-2244",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocoee Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Joseph Pinter, DO
• Patricia Piper, NP
• Lesline Pittman
• Shauna Pittman, D.M.D.
• Willard Houston Pitts, ARNP
• Valentina Amanda Portillo Prado
• Nancy Prada
• Amina Malika Pratt-Eugene
• Alfonso Preciado, MD
• Precision Lab Solutions

• Internal Medicine Physician in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.