Tricounty Medical Group, LLC

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

Last updated

Feb 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shahid Sharif, M.DNPI 1578579272

Title

Owner

Phone

(407) 637-2898

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Shahid Sharif, MD

  • Internal Medicine Physician
  • Longwood, FL
  • NPI 1578579272
  Authorized official Same address or phone

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": []
}

• Total MD Orthopedics & Neurosurgery LLC
• Susan Toth, D.O.
• Tower Medical Equipment Inc
• Transformative Counseling Services, LLC (Transformative Counseling Services)
• Tricounty Hospitalists LLC
• Jennifer Trousdale, MA, CCC-SLP
• Kimmesha Troutman, BCBA
• True Vine Dental Care
• Dolly Ubhrani, M.D.
• Amelia Ucki, M.A, BCBA

• Internal Medicine Physician in Longwood, FL
• Providers in Longwood, 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 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.