Florida Internal Medicine Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME91546 Issued in FL

Legal business name

FLORIDA INTERNAL MEDICINE GROUP

Practice address

29 Doctors Drive
Panama City, FL 32405

Phone

(850) 872-0332

NPI assigned

Apr 8, 2009

Last updated

Jul 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed Kassem, M.D.NPI 1528027356

Title

President

Phone

(850) 872-0332

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Mohamed Kassem, M.D.

  • Internal Medicine Physician
  • Clifton, NJ
  • NPI 1528027356
  NPD (past) Authorized official
• Ashli A Brooks, FNP-BC

  • Family Nurse Practitioner
  • Panama City, FL
  • NPI 1417102146
  NPD (past)

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1508009457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324020922",
            "telephone_number": "850-872-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 DOCTORS DRIVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32405",
            "telephone_number": "850-872-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INTERNAL MEDICINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "KASSEM",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-872-0332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME91546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Em-I Medical Services PA
• Florida Em-I Medical Services PA
• Florida First Health, LLC
• Florida First Health, LLC
• Florida Fitwave (Anytime Fitness)
• Florida Medical Lab
• Florida Mentor II LLC (Panama City Developmental Center)
• Florida Panhandle Anesthesia Associates, LLC
• Florida Panhandle Pediatric Foundation, Inc.
• Florida Regional Intensivist Services, LLC

• Specialist in Panama City, FL
• Providers in Panama City, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.