NPIMap

Organization Active NPI

Florida Medical Specialists LLC

Doing business as MAXHealth-Lab

  • Clinical Pathology/Laboratory Medicine Physician
  • Sarasota, FL
National Provider Identifier
1154679124
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
Legal business name
FLORIDA MEDICAL SPECIALISTS LLC
Doing business as
MAXHealth-Lab
Practice address
3844 Bee Ridge Rd
Sarasota, FL 34233-1163
Phone
(941) 315-6198
Fax
(941) 371-1393
NPI assigned
Aug 24, 2012
Last updated
May 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Intia Bedi
Title
Managing Partner
Phone
(941) 284-5448

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0105X Primary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

3844 Bee Ridge Rd
Sarasota, FL 34233-1163

Mailing address

PO Box 25487
Sarasota, FL 34277-2487
Phone (941) 371-2500

Other practice location 1

4351 Cortez Rd W Ste 201
Bradenton, FL 34210-3217
Phone (941) 315-6198

Other practice location 2

11505 Palmbrush Trl Ste 220
Lakewood Ranch, FL 34202-2915
Phone (941) 315-6198

Other names 1

  • MAXHealth-Lab 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

National Provider Directory

National Provider Directory

Locations

6114 State Road 70 E
Bradenton, FL 34203
Phone (941) 315-6182

5831 Bee Ridge Rd
#210B
Sarasota, FL 34233

5831 Bee Ridge Rd
Ste 210B
Sarasota, FL 34233
Phone (941) 315-6198

Practitioners & affiliated clinicians

Practitioners 10

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": "1345766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1154679124",
    "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": "941-371-2500",
            "fax_number": "941-917-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331163",
            "telephone_number": "941-315-6198",
            "fax_number": "941-371-1393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4351 Cortez Rd W Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342103217",
            "country_code": "US",
            "telephone_number": "941-315-6198",
            "fax_number": "941-371-1393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11505 Palmbrush Trl Ste 220",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342022915",
            "country_code": "US",
            "telephone_number": "941-315-6198",
            "fax_number": "941-371-1393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA MEDICAL SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-24",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "BEDI",
        "authorized_official_first_name": "INTIA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "941-284-5448"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAXHealth-Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MAXHealth-Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.