Organization Active NPI

North Florida Internal Medicine PA

Doing business as North Florida Integrative Medicine

  • Internal Medicine Physician
  • Gainesville, FL
National Provider Identifier
1114146776
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME73570 Issued in FL
Legal business name
NORTH FLORIDA INTERNAL MEDICINE PA
Doing business as
North Florida Integrative Medicine
Practice address
6228 NW 43Rd St
Suite B
Gainesville, FL 32653-8871
Phone
(352) 332-6680
Fax
(352) 332-6604
NPI assigned
Apr 24, 2007
Last updated
Jul 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Dr. Angeli Maun Akey, M.D.NPI 1437137809
Title
Medical Director
Phone
(352) 332-6680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME73570 FL Primary

Addresses

Primary practice location

6228 NW 43Rd St
Suite B
Gainesville, FL 32653-8871

Mailing address

6228 NW 43Rd St
Suite B
Gainesville, FL 32653-8871
Phone (352) 332-6680

Other identifiers 1

IdentifierTypeStateIssuer
006779300MedicaidFL

Other names 1

  • North Florida Integrative Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070424000214 FL Part B Supplier - Clinic/Group Practice 7810092681 Receives reassigned benefits from 4 practitioners
Practice locations: Gainesville, FL

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
10D0979625North Florida Internal Medicine PA6228 NW 43Rd St Ste B, Gainesville, FL 32653Certificate of waiverOct 25, 2026

National Provider Directory

National Provider Directory

Locations

6228 NW 43rd St
#B
Gainesville, FL 32653
Phone (352) 332-6680

6228 NW 43rd St
Ste B
Gainesville, FL 32653
Phone (352) 332-6680

6400 W Newberry Rd
Ste 109
Gainesville, FL 32605
Phone (352) 332-4400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EACDCA

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1114146776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6228 NW 43RD ST",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326538871",
            "telephone_number": "352-332-6680",
            "fax_number": "352-332-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6228 NW 43RD ST",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326538871",
            "telephone_number": "352-332-6680",
            "fax_number": "352-332-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "AKEY",
        "authorized_official_first_name": "ANGELI",
        "authorized_official_middle_name": "MAUN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "352-332-6680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME73570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006779300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Florida Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.