Haines City Internal Medicine PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0050219 Issued in FL

Legal business name

HAINES CITY INTERNAL MEDICINE PA

Practice address

608 Ingraham Ave
Haines City, FL 33844-4330

Phone

(863) 422-9562

Fax

(863) 421-3246

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jay C Stine Jr., MD

Title

Part Owner

Phone

(863) 422-9562

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Mohamed F Razak, M.D.

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1003870775
  NPD

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1386799542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 INGRAHAM AVENUE",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445619",
            "telephone_number": "863-422-9562",
            "fax_number": "863-421-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 INGRAHAM AVE",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444330",
            "telephone_number": "863-422-9562",
            "fax_number": "863-421-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAINES CITY INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "STINE",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "863-422-9562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0050219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259269000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth J Gunn, NEMT
• Gurkirpal S Shergill MD PA
• Monica Gutierrez
• Leigh Ann Gutowski, PHARMD
• Haines Alf Management, LLC
• Haines City Medical Center LLC
• Haines City Pain Management, Inc.
• Haines City Rehab, LLC
• Haines City SLC Opco LLC
• Franteria N Hall

• Internal Medicine Physician in Haines City, FL
• Providers in Haines City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.