Internalcare PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R858126 Issued in MS

Legal business name

INTERNALCARE PLLC

Practice address

12207 Highway 49
Suite 40
Gulfport, MS 39503-2955

Phone

(228) 831-1140

Fax

(228) 831-1104

NPI assigned

Apr 16, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Joseph M Garcia

Title

Office Director

Phone

(228) 831-1140

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1518100775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12207 HIGHWAY 49",
            "address_2": "SUITE 40",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032955",
            "telephone_number": "228-831-1140",
            "fax_number": "228-831-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12207 HIGHWAY 49",
            "address_2": "SUITE 40",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032955",
            "telephone_number": "228-831-1140",
            "fax_number": "228-831-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNALCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE DIRECTOR",
        "authorized_official_telephone_number": "228-831-1140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "20037",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R858126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Clinic of Picayune (The Center For Health Management)
• Lauren Creel Irey, NP
• Roy L Irons, D.D.S.
• J. J. Hill Brace and Limb Co., Inc.
• Mohammad Awad Jaber, M.D.
• Lakeisha J Jackson-Patton, PHARM.D.

• Family Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.