Organization Active NPI

Tricounty Medical Association,LLC

  • Internal Medicine Physician
  • Sanford, FL
National Provider Identifier
1629357793
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRICOUNTY MEDICAL ASSOCIATION,LLC
Practice address
5150 Majestic Woods PL
Sanford, FL 32771-5400
Phone
(321) 352-1212
NPI assigned
Aug 8, 2011
Last updated
Aug 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Authorized official

Name
Syed Khurshid
Title
M.D
Phone
(321) 353-3542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

5150 Majestic Woods PL
Sanford, FL 32771-5400

Mailing address

5150 Majestic Woods PL
Sanford, FL 32771-5400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1629357793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 MAJESTIC WOODS PL",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 MAJESTIC WOODS PL",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715400",
            "telephone_number": "321-352-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICOUNTY MEDICAL ASSOCIATION,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "KHURSHID",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "321-353-3542"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.