Organization Active NPI

Medical & Injury Centers of Florida

  • Internal Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1629345681
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICAL & INJURY CENTERS OF FLORIDA
Practice address
5132 US Highway 19
21St Century Pavillion
New Port Richey, FL 34652-3942
Phone
(727) 807-7932
Fax
(727) 807-7939
NPI assigned
Nov 18, 2011
Organization subpart
Yes
Parent organization
ATLANTA PHYSICIANS GROUP, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Dr. Shailesh Kothari, D.C.
Title
Ceo
Phone
(770) 938-2625

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5132 US Highway 19
21St Century Pavillion
New Port Richey, FL 34652-3942

Mailing address

800 Virginia Ave
Suite 200
Hapeville, GA 30354-4302
Phone (770) 938-2625

National Provider Directory

National Provider Directory
Part of
Atlanta Pain Injury PC

Locations

4809 N Armenia Ave
Ste 210
Tampa, FL 33603
Phone (813) 443-2108

2909 Peachtree Rd NE
Atlanta, GA 30305

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1629345681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 VIRGINIA AVE",
            "address_2": "SUITE 200",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303544302",
            "telephone_number": "770-938-2625",
            "fax_number": "404-549-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5132 US HIGHWAY 19",
            "address_2": "21ST CENTURY PAVILLION",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523942",
            "telephone_number": "727-807-7932",
            "fax_number": "727-807-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL & INJURY CENTERS OF FLORIDA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTA PHYSICIANS GROUP, PC",
        "enumeration_date": "2011-11-18",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "KOTHARI",
        "authorized_official_first_name": "SHAILESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-938-2625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.