NPIMap

Organization Active NPI

Central Florida Infectious Diseases LLC

  • Infectious Disease Physician
  • Winter Haven, FL
National Provider Identifier
1457590721
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME99435 Issued in FL
Legal business name
CENTRAL FLORIDA INFECTIOUS DISEASES LLC
Practice address
200 Avenue F SW
Winter Haven, FL 33880-3432
Phone
(863) 293-1121
Fax
(863) 291-6028
NPI assigned
Feb 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Dr. Lindsay Mathew John, M.DNPI 1184649105
Title
Managing Member
Phone
(254) 718-8329

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X ME99435 FL Primary

Addresses

Primary practice location

200 Avenue F SW
Winter Haven, FL 33880-3432

Mailing address

11321 Laurel Brook CT
Riverview, FL 33569-2023
Phone (254) 718-8329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090615000197 FL Part B Supplier - Clinic/Group Practice 6406906320 Receives reassigned benefits from 6 practitioners
Practice locations: Bartow, FL; Lakeland, FL; Winter Haven, FL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDIGBD

Practitioners & affiliated clinicians

Practitioners 7

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": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1457590721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11321 LAUREL BROOK CT",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335692023",
            "telephone_number": "254-718-8329",
            "fax_number": "863-583-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE F SW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803432",
            "telephone_number": "863-293-1121",
            "fax_number": "863-291-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA INFECTIOUS DISEASES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "254-718-8329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME99435",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 10, 2009; 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.