Active NPI
Doc 2 Door Concierge LLC
- Internal Medicine Physician
- Odessa, FL
National Provider Identifier
1154102986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DOC 2 DOOR CONCIERGE LLC
- Practice address
- 13266 Byrd Dr Ste 100-223
Odessa, FL 33556-5319 - Phone
- (941) 702-0010
- NPI assigned
- Oct 9, 2023
- Last updated
- Dec 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nadeem G Qazi, MD
- Title
- President
- Phone
- (941) 702-0010
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
13266 Byrd Dr Ste 100-223
Odessa, FL 33556-5319
Mailing address
13266 Byrd Dr Ste 100-223
Odessa, FL 33556-5319
Phone (941) 702-0010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Odessa, FL
- NPI 1760590012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733788800000",
"number": "1154102986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13266 BYRD DR STE 100-223",
"city": "ODESSA",
"state": "FL",
"postal_code": "335565319",
"telephone_number": "941-702-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13266 BYRD DR STE 100-223",
"city": "ODESSA",
"state": "FL",
"postal_code": "335565319",
"telephone_number": "941-702-0010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOC 2 DOOR CONCIERGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-09",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A",
"authorized_official_last_name": "QAZI",
"authorized_official_first_name": "NADEEM",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "941-702-0010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.