Internal Medicine Institute

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE INSTITUTE

Practice address

1109 Bryn Mawr Ave
Lake Wales, FL 33853-4333

Phone

(863) 679-2984

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Benigno Feliciano, M.D.

Title

President

Phone

(863) 679-2984

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1649433764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 BRYN MAWR AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534333",
            "telephone_number": "863-679-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 BRYN MAWR AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534333",
            "telephone_number": "863-679-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "BENIGNO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-679-2984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270356400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwen Horne
• Fred I Howard III, MD
• Robert Keith Hulen III
• Te Hui Hung
• Mia Apolo Hunt
• Eliezer Moshe Izsak, M.D.
• Hope Jackson
• Jahna Chiropractic, LLC
• Marcus Anthony Jahna, D.C.
• James D. Morgan, MD, PA

• Internal Medicine Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.