West Florida Internal Medicine LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

WEST FLORIDA INTERNAL MEDICINE LLC

Practice address

4252 Woodbine Rd
Pace, FL 32571-8703

Phone

(850) 494-4600

NPI assigned

Sep 7, 2021

Organization subpart

Yes

Parent organization

WEST FLORIDA INTERNAL MEDICINE LLCAs reported in NPPES

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

Authorized official

Name

William Tedrick Johnson

Title

Vice President

Phone

(615) 372-3375

Specialties & licenses 1

Addresses

Part of

West Florida Internal Medicine LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• West Florida Internal Medicine LLC

  • Internal Medicine Physician
  • Pensacola, FL
  • NPI 1679555833
  NPPES parent name

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1851060685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-372-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718703",
            "telephone_number": "850-494-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FLORIDA INTERNAL MEDICINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST FLORIDA INTERNAL MEDICINE LLC",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TEDRICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-3375"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Watson
• Courtney Watts, RBT
• Dustin L Weber, DC
• Justin Weekley, PHARM.D.
• Well Point Health
• Jennifer Elizabeth Whitworth
• Camryn E Wilkerson
• David Barron Winkles, R.PH.
• Taylor Marie Wolfe, SLPA
• Woodbine Eye Care, PA (Woodbine Eye Care)

• Obstetrics & Gynecology Physician in Pace, FL
• Providers in Pace, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.