Mid-Florida Critical Care Physician Services L L C

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

MID-FLORIDA CRITICAL CARE PHYSICIAN SERVICES L L C

Practice address

200 Avenue F NE
Winter Haven, FL 33881-4131

Phone

(863) 293-1121

Fax

(863) 297-1867

NPI assigned

Jun 24, 2008

Organization subpart

Yes

Parent organization

MID-FLORIDA PHYSICIAN SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Dave Macdougall

Title

Cfo

Phone

(863) 293-1121

Specialties & licenses 1

Addresses

Part of

Mid-Florida Physician Services LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mid-Florida Physician Services LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Winter Haven, FL
  • NPI 1265608012
  NPPES parent name

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1356502108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 ARIANA AVE",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233319",
            "telephone_number": "863-293-1121",
            "fax_number": "863-968-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE F NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814131",
            "telephone_number": "863-293-1121",
            "fax_number": "863-297-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-FLORIDA CRITICAL CARE PHYSICIAN SERVICES L L C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-FLORIDA PHYSICIAN SERVICES, LLC",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "MACDOUGALL",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "863-293-1121"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Critical Care Medicine (Internal Medicine) Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Critical Care Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.