NPIMap

Organization Active NPI

Florida Institute of Family Medicine, PA

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1639285141
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FLORIDA INSTITUTE OF FAMILY MEDICINE, PA
Practice address
1100 62ND Ave S
St Petersburg, FL 33705-5620
Phone
(727) 866-3166
Fax
(727) 864-4043
NPI assigned
Aug 21, 2006
Last updated
Feb 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Authorized official

Name
Mark B Norstein, MDNPI 1194831479
Title
President
Phone
(727) 866-3166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

1100 62ND Ave S
St Petersburg, FL 33705-5620

Mailing address

1100 62ND Ave S
St Petersburg, FL 33705-5620
Phone (727) 866-3166

Other identifiers 1

IdentifierTypeStateIssuer
253079100MedicaidFL

National Provider Directory

National Provider Directory

Locations

4951 34th St S
St Petersburg, FL 33711
Phone (727) 867-8641

8730 4th St N
St Petersburg, FL 33702
Phone (727) 576-4229

8950 Martin Luther King St N
Ste 180
St Petersburg, FL 33702
Phone (727) 576-8900

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1639285141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 62ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337055620",
            "telephone_number": "727-866-3166",
            "fax_number": "727-864-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 62ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337055620",
            "telephone_number": "727-866-3166",
            "fax_number": "727-864-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INSTITUTE OF FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "NORSTEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-866-3166",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253079100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.