NPIMap

Organization Active NPI

Florida Med Center Countryside

  • Internal Medicine Physician
  • Palm Harbor, FL
National Provider Identifier
1477540409
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FLORIDA MED CENTER COUNTRYSIDE
Practice address
2595 Tampa Rd
Suite M
Palm Harbor, FL 34684-3152
Phone
(727) 772-8007
Fax
(727) 772-6648
NPI assigned
Oct 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Ali M Saifi, MDNPI 1376530303
Title
President
Phone
(727) 442-3001

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X FL Primary

Addresses

Primary practice location

2595 Tampa Rd
Suite M
Palm Harbor, FL 34684-3152

Mailing address

1840 N Highland Ave
Clearwater, FL 33755-2138
Phone (727) 442-3001

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1091833Florida Med Center of Countryside2595 Tampa Rd Ste M, Palm Harbor, FL 34684Certificate of waiverNov 11, 2026

National Provider Directory

National Provider Directory

Locations

1840 N Highland Ave
Clearwater, FL 33755
Phone (727) 442-3001

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1477540409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 N HIGHLAND AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337552138",
            "telephone_number": "727-442-3001",
            "fax_number": "727-467-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD",
            "address_2": "SUITE M",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843152",
            "telephone_number": "727-772-8007",
            "fax_number": "727-772-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MED CENTER COUNTRYSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SAIFI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-442-3001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.