Organization Active NPI

Taha Med PLLC

  • Internal Medicine Physician
  • Winter Haven, FL
National Provider Identifier
1871978973
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME96911 Issued in FL
Legal business name
TAHA MED PLLC
Practice address
4112 Island Lakes Dr
Winter Haven, FL 33881-5605
Phone
(863) 594-8354
Fax
(407) 386-7878
NPI assigned
Jul 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Dr. Taha Dias, M.D.
Title
Owner
Phone
(863) 594-8354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME96911 FL Primary

Addresses

Primary practice location

4112 Island Lakes Dr
Winter Haven, FL 33881-5605

Mailing address

4112 Island Lakes Dr
Winter Haven, FL 33881-5605
Phone (863) 594-8354

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1871978973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 ISLAND LAKES DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338815605",
            "telephone_number": "863-594-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 ISLAND LAKES DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338815605",
            "telephone_number": "863-594-8354",
            "fax_number": "407-386-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHA MED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "DIAS",
        "authorized_official_first_name": "TAHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-594-8354",
        "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": "ME96911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.