Active NPI
Michael J. Sforzini, MD
- Internal Medicine Physician
- Lady Lake, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 138984
- Practice address
- 753 Co Rd 466
Lady Lake, FL 32159 - Phone
- (352) 268-0003
- Fax
- (855) 642-0650
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 16569 | AL | |
| Hospitalist Physician | 208M00000X | MD.16569 | AL | |
| Internal Medicine Physician | 207R00000X | 138984 | FL | Primary |
Addresses
Primary practice location
753 Co Rd 466
Lady Lake, FL 32159
Mailing address
753 Co Rd 466
Lady Lake, FL 32159
Phone (352) 268-0003
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009924830 | Medicaid | AL | |
| 51094565 | Other | AL | BCBS |
| 04-11590 | Other | AL | UNITED HEALTHCARE |
| 51094568 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16569 | AL | MD | Internal Medicine Physician |
| 138984 | FL | MD | Internal Medicine Physician |
| MD.16569 | AL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin Primary Health Center, Inc | Internal Medicine | Current | Accepting new patients |
| Franklin Primary Health Center Inc. | Internal Medicine | Current | Accepting new patients |
| Inpatient Consultants of Alabama, Inc | Internal Medicine | Current | Accepting new patients |
| Tricounty Health LLC | Internal Medicine | Current | Accepting new patients |
Locations
750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375
5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415
1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603
735 S Washington Ave
Mobile, AL 36603
Phone (251) 433-2642
3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000
1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646
1720 Knowles Rd
Phenix City, AL 36869
Phone (334) 291-0485
753 Highway 466
Lady Lake, FL 32159
Phone (321) 248-2666
4056 E State Road 44
Wildwood, FL 34785
Phone (321) 248-2666
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EDJGBD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1679532303
Internal Medicine
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1235238916
-
- Internal Medicine Physician
- Wildwood, FL
- NPI 1619435179
-
- Federally Qualified Health Center (FQHC)
- Evergreen, AL
- NPI 1346733821
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1124066402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "753 CO RD 466",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "32159",
"telephone_number": "352-268-0003",
"fax_number": "855-642-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "753 CO RD 466",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "32159",
"telephone_number": "352-268-0003",
"fax_number": "855-642-0650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SFORZINI",
"first_name": "MICHAEL",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "16569",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AL",
"license": "MD.16569",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "138984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009924830",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51094565",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "04-11590",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51094568",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lady Lake, FL
- James A Scott, D.C.
- Senior Support Servicing Home Healthcare Region 3, LLC
- Seniorbridge Family Companies (FL), Inc.
- Serenity Dentistry Spa, LLC
- Serenity Hope Consulting Services Inc
- Janmejay Shaktawat, M.D.
- Shannon Floyd DPM PA
- Shantinath Villages Pulmonary and Sleep Center PLLC
- Kayla Marcia Sheffield, PHARMD, RPH
- Brian Shin, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.