Organization Active NPI

Winter Haven Intensive Care Consultants PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Winter Haven, FL
National Provider Identifier
1356563829
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME97772 Issued in FL
Legal business name
WINTER HAVEN INTENSIVE CARE CONSULTANTS PLLC
Practice address
200 Avenue F NE
Attn: Cheryl Pettitt
Winter Haven, FL 33881-4131
Phone
(352) 867-8311
Fax
(352) 867-1053
NPI assigned
May 3, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Vincent C Palmire, M.D.NPI 1043249451
Title
Owner
Phone
(352) 867-8311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

1511 SW 1st Ave
Ocala, FL 34471
Phone (352) 629-1378

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0200X ME97772 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

200 Avenue F NE
Attn: Cheryl Pettitt
Winter Haven, FL 33881-4131

Mailing address

1511 SW 1St Ave
Ocala, FL 34474-4005
Phone (352) 867-8311

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
33551OtherFLBCBS OF FLORIDA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2007.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1356563829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744005",
            "telephone_number": "352-867-8311",
            "fax_number": "352-867-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE F NE",
            "address_2": "ATTN: CHERYL PETTITT",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814131",
            "telephone_number": "352-867-8311",
            "fax_number": "352-867-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTER HAVEN INTENSIVE CARE CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "PALMIRE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-867-8311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME97772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "33551",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.