NPIMap

Organization Active NPI

Florida Med Group LLC

  • Internal Medicine Physician
  • St Petersburgh, FL
National Provider Identifier
1659968998
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FLORIDA MED GROUP LLC
Practice address
4820 5TH Avenue North
St Petersburgh, FL 33713-3371
Phone
(727) 466-3000
Fax
(727) 844-5425
NPI assigned
Dec 21, 2020
Last updated
Jan 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Muhammad S Hayat, MD
Title
Manager
Phone
(727) 466-3000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Nephrology Physician 207RN0300X
Pulmonary Disease Physician 207RP1001X

Addresses

Primary practice location

4820 5TH Avenue North
St Petersburgh, FL 33713-3371

Mailing address

PO Box 7707
Clearwater, FL 33758-7707
Phone (727) 844-5404

National Provider Directory

National Provider Directory

Locations

905 E Mlk Dr
Ste 320
Tarpon Springs, FL 34689
Phone (727) 844-5404

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1659968998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7707",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337587707",
            "telephone_number": "727-844-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 5TH AVENUE NORTH",
            "city": "ST PETERSBURGH",
            "state": "FL",
            "postal_code": "337133371",
            "telephone_number": "727-466-3000",
            "fax_number": "727-844-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MED GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "HAYAT",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-466-3000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburgh, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.