Island Doctors of New Smyrna Beach Medical Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ISLAND DOCTORS OF NEW SMYRNA BEACH MEDICAL CENTER LLC

Practice address

406 Palmetto St
Suite a
New Smyrna, FL 32168-7323

Phone

(386) 423-1212

Fax

(386) 423-5730

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Jose J. Armas, MD

Title

President

Phone

(305) 662-5200

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Conviva Medical Center Management LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278

  Member Of

  NPD member

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1740618875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555544",
            "telephone_number": "305-662-5200",
            "fax_number": "305-284-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 PALMETTO ST",
            "address_2": "SUITE A",
            "city": "NEW SMYRNA",
            "state": "FL",
            "postal_code": "321687323",
            "telephone_number": "386-423-1212",
            "fax_number": "386-423-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND DOCTORS OF NEW SMYRNA BEACH MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "ARMAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-662-5200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Marie Dziama, CCC/SLP
• Nicole Marie Ehrhardt
• Nabil Boshra Guindi, MD
• Sean Patrick Hassett
• Island Doctors of New Smyrna Beach LLC
• Kyle Robert Jones, DPT
• Robert Eric Kraemer, ARNP
• Laurel Physical Therapy Inc
• Tayanna Giselle Lawlor, FNP-BC
• Symantha Leventhal, MOTR/L

• Internal Medicine Physician in New Smyrna, FL
• Providers in New Smyrna, 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 Oct 29, 2013; 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.