Active NPI
Medical & Injury Centers of Florida
- Internal Medicine Physician
- New Port Richey, FL
National Provider Identifier
1629345681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Internal Medicine Physician | 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.