NPIMap

Organization Active NPI

Tricounty Medical Group, LLC

  • Internal Medicine Physician
  • Longwood, FL
National Provider Identifier
1821496597
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME92280 Issued in FL
Legal business name
TRICOUNTY MEDICAL GROUP, LLC
Practice address
1906 Wingfield Dr
Longwood, FL 32779-7007
Phone
(407) 637-2898
NPI assigned
Dec 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Authorized official

Name
Dr. Shahid Sharif, M.D
Title
Owner
Phone
(407) 637-2898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME92280 FL Primary

Addresses

Primary practice location

1906 Wingfield Dr
Longwood, FL 32779-7007

Mailing address

1906 Wingfield Dr
Longwood, FL 32779-7007
Phone (407) 637-2898

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1821496597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 WINGFIELD DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327797007",
            "telephone_number": "407-637-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 WINGFIELD DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327797007",
            "telephone_number": "407-637-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICOUNTY MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "SHARIF",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-637-2898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME92280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.