Central Florida Internal Medicine Associates, P.L.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME67759 Issued in FL

Legal business name

CENTRAL FLORIDA INTERNAL MEDICINE ASSOCIATES, P.L.

Practice address

4725 US Highway 98 S
Suite 101
Lakeland, FL 33812-4254

Phone

(863) 646-9663

Fax

(863) 646-9664

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey Settembrino

Title

Chairman

Phone

(863) 646-9663

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Herman Ricardo Matallana, DO

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Lakeland, FL
  • NPI 1205982931
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1285795641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 US HIGHWAY 98 S",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124334",
            "telephone_number": "863-646-9663",
            "fax_number": "863-646-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 US HIGHWAY 98 S",
            "address_2": "SUITE 101",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124254",
            "telephone_number": "863-646-9663",
            "fax_number": "863-646-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA INTERNAL MEDICINE ASSOCIATES, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "SETTEMBRINO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "863-646-9663"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME67759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285795641",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "28191",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379364800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Florida Health Care, Inc.
• Central Florida Health Care, Inc.
• Central Florida Health Care, Inc.
• Central Florida Health Care, Inc.
• Central Florida Imaging of Lakeland LLC
• Central Florida Kidney Care PA
• Central Florida Orthopaedic Surgery Associates PL
• Central Florida Psychotherapy Services LLC
• Central Florida Rehab Specialists, Inc
• Central Florida Speech & Hearing Center

• All providers in Lakeland, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.